Active NPI
Andy Paul Reynaga, MD
- Family Medicine Physician
- Rialto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A192967
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A192967 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Medical Group P C | Family Medicine | Current | Accepting new patients |
| Pinnacle Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Pinnacle Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Centers for Family Medicine GP | Family Medicine | Current | 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 | Past | 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
- 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.
-
- Family Medicine Physician
- Fontana, CA
- NPI 1376876912
-
- Family Medicine Physician
- Redlands, CA
- NPI 1649503319
-
- Family Medicine Physician
- Los Alamitos, CA
- NPI 1467598243
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Multi-Specialty Clinic/Center
- Vista, CA
- NPI 1215003470
-
- Family Medicine Physician
- Fontana, CA
- NPI 1043255763
-
- Family Medicine Physician
- Redlands, CA
- NPI 1275570830
-
- Family Medicine Physician
- San Bernardino, CA
- NPI 1447292248
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.