Trish Balolong Reyes, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95009438 Issued in CA

Practice address

2791 Agoura Rd
Westlake Village, CA 91361-3101

Phone

(866) 389-2727

NPI assigned

Feb 1, 2018

Last updated

May 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, IL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Janesri de Silva M D a Professionalcorp

  dba Kids & Teens Medical Group

  • Pediatrics Physician
  • Pasadena, CA
  • NPI 1326278490
  Medicare reassignment NPD
• Alliance Physician Partners Hospitalist Group LLC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1538711098
  NPD
• Healthylife MG Corp

  dba St Gianna Medical Group

  • Family Medicine Physician
  • La Canada, CA
  • NPI 1184489684
  NPD (past)
• Pediatric Affiliates Medical Group Inc

  • Pediatrics Physician
  • West Hills, CA
  • NPI 1053410506
  NPD (past)

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1972002228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2791 AGOURA RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613101",
            "telephone_number": "186-638-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2791 AGOURA RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913613101",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "TRISH",
        "middle_name": "BALOLONG",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-01",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95909438",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95009438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anrae Reotutar, DPT, PT
• Mary Resnick, PSYCHOLOGIST
• Retinal Consultants of Southern California Medical Group, Inc
• Kyle Reuser
• Carlo Magno C Reyes, M.D.
• Trevor Reynolds, MFT
• Daniel Ernesto Reza
• Sepideh T Rezai
• Jenny Reznick, MFT
• Rgac Enterprises, Inc. (BrightStar Care Conejo and Simi Valley)

• Family Nurse Practitioner in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.