Individual provider Active NPI

Andy Paul Reynaga, MD

  • Family Medicine Physician
  • Rialto, CA
National Provider Identifier
1972184950
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A192967 Issued in CA
Practice address
1851 N Riverside Ave
Rialto, CA 92376-8069
Phone
(909) 421-2700
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A192967 CA Primary

Addresses

Primary practice location

1851 N Riverside Ave
Rialto, CA 92376-8069

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (714) 443-4512

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703004083 CA Practitioner - Family Practice 0446794150 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Medical Group IncGroup PAC ID 4880667609, 19 clinicians

Practice addresses (Care Compare)

1851 N Riverside Ave
Rialto, CA 92376-8069
Phone (909) 421-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A192967CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beaver Medical Group P C Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Pinnacle Medical Group, Inc Family Medicine CurrentSince Apr 24, 2025 Accepting new patients
Pinnacle Medical Group, Inc Family Medicine CurrentSince Apr 24, 2025 Accepting new patients
Beaver Medical Group P C CurrentSince Jul 1, 2024 Accepting new patients
Centers for Family Medicine GP Family Medicine CurrentSince Sep 15, 2024 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Pinnacle Medical Group, Inc. Family Medicine Past Accepting new patients
Beaver Medical Group P C Family Medicine PastSince Jul 1, 2024 Accepting new patients

Locations

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

17051 Sierra Lakes Pkwy
Ste 103
Fontana, CA 92336
Phone (909) 770-1000

5581 Alton Pkwy
Irvine, CA 92618
Phone (949) 222-9158

4910 Airport Plaza Dr
Ste 210
Long Beach, CA 90815
Phone (562) 421-3727

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

1851 N Riverside Ave
Rialto, CA 92376
Phone (909) 421-2700

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: areynaga25085@epiclp.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1972184950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "714-443-4512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923768069",
            "telephone_number": "909-421-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNAGA",
        "first_name": "ANDY",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2025-07-07",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A192967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

Verify at the official NPI Registry.