Individual provider Active NPI

Reginaldo Espinoza

  • Community/Behavioral Health Agency
  • Santa Ana, CA
National Provider Identifier
1992172258
Registry record updated Aug 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Practice address
600 W Santa Ana Blvd Ste 510
Santa Ana, CA 92701-4511
Phone
(714) 667-5638
NPI assigned
Aug 21, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

600 W Santa Ana Blvd Ste 510
Santa Ana, CA 92701-4511

Mailing address

600 W Santa Ana Blvd Ste 510
Santa Ana, CA 92701-4511

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817001294 CA Practitioner - Clinical Psychologist 3173895729 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15615 Alton Pkwy
Suite 450
Irvine, CA 92618-3308
Phone (949) 689-5402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29339CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Espinoza Psychological Services, Inc CurrentSince Jan 18, 2022 Accepting new patients
Cognitive Care Solutions Group Inc CurrentSince Sep 1, 2017 Accepting new patients

Locations

3943 Irvine Blvd
Irvine, CA 92602
Phone (714) 922-0120

15615 Alton Pkwy
Ste 450
Irvine, CA 92618
Phone (949) 228-9607

23461 S Pointe Dr
Ste 240
Laguna Hills, CA 92653
Phone (714) 545-3390

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1992172258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 510",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W SANTA ANA BLVD STE 510",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014511",
            "telephone_number": "714-667-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "REGINALDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.