Edward Thomas Reis, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G38173 Issued in CA

Practice address

21281 Burbank Blvd
Woodland Hills, CA 91367-6607

Phone

(818) 676-8404

NPI assigned

Jan 14, 2013

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Health Net of California, Inc.

  • Health Maintenance Organization
  • Woodland Hills, CA
  • NPI 1720264039
  NPD (past)

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1962749788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21281 BURBANK BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676607",
            "telephone_number": "818-676-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21281 BURBANK BLVD",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676607",
            "telephone_number": "818-676-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "EDWARD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G38173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Rehders
• Blair Reid, LMFT
• Brandy Reid
• Chelsea Reid
• Cher Reif
• Julia Karyl Reisman, LCSW, BCD
• Relaxed Home Hospice Care
• Reliable Rides
• Reliacare Home Health, Inc. (NewStart Home Health, Inc)
• Matthew L Rella

• Pediatrics Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.