Organization Active NPI

Arjun Reyes MD Inc

  • Psychiatry Physician
  • Moorpark, CA
National Provider Identifier
1942665039
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G77173 Issued in CA
Legal business name
ARJUN REYES MD INC
Practice address
893 Patriot Dr
Unit a
Moorpark, CA 93021-3356
Phone
(805) 531-1000
Fax
(805) 531-1100
NPI assigned
Dec 16, 2015
Last updated
Dec 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Arjun ReyesNPI 1194834424
Title
Psychatrist
Phone
(805) 521-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G77173 CA Primary

Addresses

Primary practice location

893 Patriot Dr
Unit a
Moorpark, CA 93021-3356

Mailing address

893 Patriot Dr
Unit a
Moorpark, CA 93021-3356
Phone (805) 531-1000

Other identifiers 2

IdentifierTypeStateIssuer
00G771730OtherCACALIFORNIA MEDICAID
G77173OtherMEDICARE ID TYPE UNSPECIFIED

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2325321Arjun Reyes MD and Associates893 Patriot Dr Ste a, Moorpark, CA 93021Certificate of waiverJun 9, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1942665039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 PATRIOT DR",
            "address_2": "UNIT A",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213356",
            "telephone_number": "805-531-1000",
            "fax_number": "805-531-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "893 PATRIOT DR",
            "address_2": "UNIT A",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213356",
            "telephone_number": "805-531-1000",
            "fax_number": "805-531-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARJUN REYES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "ARJUN",
        "authorized_official_title_or_position": "PSYCHATRIST",
        "authorized_official_telephone_number": "805-521-1000"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G77173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAID",
            "identifier": "00G771730",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED",
            "identifier": "G77173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorpark, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.