Individual provider Active NPI

Maureen Poblador Reyes, FNP

  • Family Nurse Practitioner
  • Monrovia, CA
National Provider Identifier
1952264780
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95037309 Issued in CA
Practice address
136 E Walnut Ave
Monrovia, CA 91016-3431
Phone
(818) 450-1188
NPI assigned
Dec 8, 2025
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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 95037309 CA Primary

Addresses

Primary practice location

136 E Walnut Ave
Monrovia, CA 91016-3431

Mailing address

818 N Foxdale Ave
West Covina, CA 91790-1214

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
I20260206002244 CA Practitioner - Nurse Practitioner 5092294371

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

136 E Walnut Ave
Monrovia, CA 91016-3431

818 N Foxdale Ave
West Covina, CA 91790-1214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95037309CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Wound Care CurrentSince Dec 30, 2025 Accepting new patients

Locations

136 E Walnut Ave
Monrovia, CA 91016
Phone (323) 803-3284

1651 Response Rd
Ste 350
Sacramento, CA 95815
Phone (818) 450-1188

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1765152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1952264780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 N FOXDALE AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917901214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 E WALNUT AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163431",
            "telephone_number": "818-450-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "MAUREEN",
        "middle_name": "POBLADOR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-08",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95037309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.