Alexis Dizon Reyes

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95022212 Issued in CA

Practice address

2171 S Grove Ave
Ontario, CA 91761-4600

Phone

(909) 923-4080

NPI assigned

Jul 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Alexis Dizon Casilang Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• American Current Care of California, a Medical Corporation

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622

  CA

  Medicare reassignment NPD
• American Current Care of California, a Medical Corporation

  • Urgent Care Clinic/Center
  • Ontario, CA
  • NPI 1811464084
  NPD
• American Current Care of California, a Medical Corporation

  • Urgent Care Clinic/Center
  • Sunnyvale, CA
  • NPI 1831665223
  NPD

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1942933460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 S GROVE AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917614600",
            "telephone_number": "909-923-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 S GROVE AVE",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917614600",
            "telephone_number": "909-923-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15302 El Prado Rd",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917107659",
            "country_code": "US",
            "telephone_number": "909-393-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYES",
        "first_name": "ALEXIS",
        "middle_name": "DIZON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-01",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95153806",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "CASILANG",
            "middle_name": "DIZON",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alondra Revuelta
• Danayla Reyes- Medina
• Maria E Reyes-Aguilar
• Andrina Reyes-Alavez
• Danika Enid Reyes-Miranda, BCBA#1-19-38154
• Angel Reyes
• Antoine Marcos Reyes
• Citlaly Reyes
• Desiree Reyes
• Gisela Reyes

• All providers in Ontario, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.