Individual provider Active NPI

Ryan Eduardo Reyes

  • Electroneurodiagnostic Specialist/Technologist
  • Simi Valley, CA
National Provider Identifier
1992160121
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Practice address
2655 1St St Ste 250
Simi Valley, CA 93065-1574
Phone
(800) 785-8953
Fax
(303) 922-4640
NPI assigned
Dec 14, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Primary

Addresses

Primary practice location

2655 1St St Ste 250
Simi Valley, CA 93065-1574

Mailing address

2655 1St St Ste 250
Simi Valley, CA 93065-1574
Phone (800) 785-8953

Other identifiers 1

IdentifierTypeStateIssuer
246ZE0600XOtherSPECIALIST/TECHNOLOGIS. OTHER - ELECTRONEURODIAGNOSTIC

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1992160121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 1ST ST STE 250",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651574",
            "telephone_number": "800-785-8953",
            "fax_number": "303-922-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 1ST ST STE 250",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651574",
            "telephone_number": "800-785-8953",
            "fax_number": "303-922-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "RYAN",
        "middle_name": "EDUARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALIST/TECHNOLOGIS.  OTHER - ELECTRONEURODIAGNOSTIC",
            "identifier": "246ZE0600X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.