Individual provider Active NPI

Jenna E Reyes, FNP

  • Family Nurse Practitioner
  • Vista, CA
National Provider Identifier
1932927308
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032348 Issued in CA
Practice address
161 Thunder Dr Ste 102
Vista, CA 92083-6051
Phone
(760) 631-4000
NPI assigned
Oct 2, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95032348 CA Primary

Addresses

Primary practice location

161 Thunder Dr Ste 102
Vista, CA 92083-6051

Mailing address

161 Thunder Dr Ste 102
Vista, CA 92083-6051
Phone (760) 631-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623003778 CA Practitioner - Nurse Practitioner 3779005863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Pacific Senior GroupGroup PAC ID 6406204270, 8 clinicians

Practice addresses (Care Compare)

2424 Vista Way
Suite 105
Oceanside, CA 92054-6178
Phone (858) 876-5311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95032348CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Senior Group CurrentSince Aug 26, 2025 Accepting new patients
Linda S Falconio M.D., Inc CurrentSince Mar 13, 2025 Accepting new patients

Locations

2424 Vista Way
Ste 105
Oceanside, CA 92054
Phone (858) 209-3717

161 Thunder Dr
Ste 102
Vista, CA 92083
Phone (760) 631-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1932927308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 THUNDER DR STE 102",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836051",
            "telephone_number": "760-631-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 THUNDER DR STE 102",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836051",
            "telephone_number": "760-631-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JENNA",
        "middle_name": "E",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.