Active NPI
Emely Vanessa Reyes, RDN
- Registered Dietitian
- Pomona, CA
National Provider Identifier
1932674439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86091190
- Practice address
- 1555 S Garey Ave
Pomona, CA 91766-5222 - Phone
- (909) 620-8088
- NPI assigned
- Oct 10, 2018
- Last updated
- Oct 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86091190 | CA | Primary |
Addresses
Primary practice location
1555 S Garey Ave
Pomona, CA 91766-5222
Mailing address
1555 S Garey Ave
Pomona, CA 91766-5222
Phone (909) 620-8088
Other practice location 1
420 S Glendora Ave
West Covina, CA 91790-3001
Phone (626) 919-4333
Other practice location 2
2101 N Waterman Ave
San Bernardino, CA 92404-4836
Phone (909) 883-8711
Other practice location 3
1555 S Garey Ave
Pomona, CA 91766-5222
Phone (909) 620-8088
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86091190 | Other | CA | DIETETIC REGISTRATION ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86091190 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1932674439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 S GAREY AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917665222",
"telephone_number": "909-620-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 S GAREY AVE",
"city": "POMONA",
"state": "CA",
"postal_code": "917665222",
"telephone_number": "909-620-8088"
}
],
"practiceLocations": [
{
"address_1": "420 S Glendora Ave",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "917903001",
"country_code": "US",
"telephone_number": "626-919-4333",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2101 N Waterman Ave",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924044836",
"country_code": "US",
"telephone_number": "909-883-8711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1555 S Garey Ave",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917665222",
"country_code": "US",
"telephone_number": "909-620-8088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "EMELY",
"middle_name": "VANESSA",
"credential": "RDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86091190",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIETETIC REGISTRATION ID NUMBER",
"identifier": "86091190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.