NPIMap

Individual provider Active NPI

Harold E Reaves, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1962408427
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G33835 Issued in CA
Practice address
420 E 3Rd St
Ste 603
Los Angeles, CA 90013-1645
Phone
(213) 680-1551
Fax
(213) 680-2148
NPI assigned
Jun 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G33835 CA Primary

Addresses

Primary practice location

420 E 3Rd St
Ste 603
Los Angeles, CA 90013-1645

Mailing address

420 E 3Rd St
Ste 603
Los Angeles, CA 90013-1645
Phone (213) 680-1551

Other identifiers 1

IdentifierTypeStateIssuer
00G338350MedicaidCA

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33835CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
East-West Eye Institute a Medical Corporation Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Riverside Medical Group PC Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Ahmc Monterey Park Hospital LP Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
St Joseph Regional Health Network Past Accepting new patients
Dignity Community Care Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Eladh, LP Past Accepting new patients

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1962408427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "STE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131645",
            "telephone_number": "213-680-1551",
            "fax_number": "213-680-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "STE 603",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131645",
            "telephone_number": "213-680-1551",
            "fax_number": "213-680-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVES",
        "first_name": "HAROLD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G33835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G338350",
            "state": "CA"
        }
    ],
    "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 Nov 6, 2017; 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.