Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MR. RANDY REYES
Active
Individual
MR. RANDY REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95013722
CA
363LF0000X
Family Nurse Practitioner
Primary
95013722
CA
Other
Enumeration date
06/29/2020
Last updated
09/16/2021
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