Individual provider Active NPI

Tanya Marie Reynolds, D.C.

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1942308341
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 30050 Issued in CA
Practice address
11340 W Olympic Blvd
Suite 380
Los Angeles, CA 90064-1608
Phone
(310) 477-3335
Fax
(310) 477-3339
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 30050 CA Primary

Addresses

Primary practice location

11340 W Olympic Blvd
Suite 380
Los Angeles, CA 90064-1608

Mailing address

11340W Olympic Blvd 138
Los Angeles, CA 90064-1611
Phone (310) 477-3335

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 30050CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Reynolds Chiropractic Inc Current Accepting new patients

Locations

11340 W Olympic Blvd
Ste 120
Los Angeles, CA 90064
Phone (310) 477-3335

11340 W Olympic Blvd
Ste 138
Los Angeles, CA 90064
Phone (310) 473-4400

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1942308341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11340W OLYMPIC BLVD 138",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641611",
            "telephone_number": "310-477-3335",
            "fax_number": "310-477-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11340 W OLYMPIC BLVD",
            "address_2": "SUITE 380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641608",
            "telephone_number": "310-477-3335",
            "fax_number": "310-477-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "TANYA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC 30050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.