Active NPI
Bernardita de Los Reyes, M.D., Inc.
- Obstetrics & Gynecology Nurse Practitioner
- Huntington Park, CA
National Provider Identifier
1912928540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- A37605
- Legal business name
- BERNARDITA DE LOS REYES, M.D., INC.
- Practice address
- 2760 E Florence Ave
Huntington Park, CA 90255-5747 - Phone
- (323) 587-2222
- Fax
- (323) 587-3963
- NPI assigned
- Jul 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bernardita L De Los Reyes, M.D.
- Title
- Owner
- Phone
- (323) 587-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | A37605 | CA | Primary |
Addresses
Primary practice location
2760 E Florence Ave
Huntington Park, CA 90255-5747
Mailing address
2760 E Florence Ave
Huntington Park, CA 90255-5747
Phone (323) 587-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0088070 | Medicaid | CA |
Other names 1
- CLINICA SANTA ISABEL
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Carson, CA
- NPI 1225123177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202688000000",
"number": "1912928540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555747",
"telephone_number": "323-587-2222",
"fax_number": "323-587-3963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 E FLORENCE AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902555747",
"telephone_number": "323-587-2222",
"fax_number": "323-587-3963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERNARDITA DE LOS REYES, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-21",
"last_updated": "2008-02-11",
"status": "A",
"authorized_official_last_name": "DE LOS REYES",
"authorized_official_first_name": "BERNARDITA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-587-2222",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "A37605",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0088070",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CLINICA SANTA ISABEL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.