Jacqueline Reyes, RS5847

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

1076 Santo Antonio Dr Ste B
Colton, CA 92324-8183

Phone

(909) 433-9824

Fax

(909) 433-9527

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1942490974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 SANTO ANTONIO DR STE B",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923248183",
            "telephone_number": "909-433-9824",
            "fax_number": "909-433-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 SANTO ANTONIO DR STE B",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923248183",
            "telephone_number": "909-433-9824",
            "fax_number": "909-433-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "JACQUELINE",
        "name_prefix": "Miss",
        "credential": "RS5847",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine J Rentz, P.A.
• Aldo Torres Resendiz, LVN
• Milton Retamozo, MD
• Angelica M Reyes, PHARMACY TECH
• Daisy Reyes
• Jeannie Reyes
• Edwin Reza
• Curtis Lee Rhodes, RN
• Emily Ingalls Rhodes, RD, MPH
• Faith Marie Rhone, RAS

• Addiction (Substance Use Disorder) Counselor in Colton, CA
• Providers in Colton, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.