MRS. TEDRA A REYES


Address: 33555 Pourroy Rd, Winchester, CA 92596-9675
Phone: 9097312960

MRS. TEDRA A REYES (NPI# 1023330818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023330818
Entity Type Individual
Full Name MRS. TEDRA A REYES
Credential RN
Practice Address 33555 Pourroy Rd
Winchester
CA 92596-9675
Practice Telephone 9097312960
Mailing Telephone 9097312960
Enumeration Date 2010-02-19
Last Update Date 2010-02-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WH0200X Registered Nurse
Specialization: Home Health
386230 CA Nursing Service Providers

Office Location

Street Address 33555 POURROY RD
City WINCHESTER
State CA
Zip Code 92596-9675

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NPI Name Taxonomy Address Enumeration
1881979276 A Step In The Right Direction LLC Community/Behavioral Health 31123 Janelle Ln, Street Address, Winchester, CA 92596 2011-10-17
1316047624 Garfield Beach Cvs LLC Pharmacy 30736 Benton Rd, Winchester, CA 92596 2006-09-25
1093785685 Jose Garcia Jimenez Dental Hygienist 31835 Corte San Pablo, Winchester, CA 92596 2006-01-25
1134597321 Maila Sucaldito Bundalian Registered Nurse 32864 Bachelor Peak Street, Winchester, CA 92596-5201 2015-09-04
1144213091 Sharon Denise Clay Matemavi Nurse Practitioner 34875 Pourroy Rd Apt 1408, Winchester, CA 92596-8184 2005-08-25
1194045823 Maria Celeste Solomon Speech-Language Pathologist 35081 Lone Hill Ct, Winchester, CA 92596-8344 2010-06-04
1790115814 Angie Miller Speech-Language Pathologist 31160 Pinon Pine Cir, Winchester, CA 92596-8353 2013-11-26
1316556350 Honestlove Global Homecare Agency LLC In Home Supportive Care 35676 Small Pine Ct, Winchester, CA 92596-8376 2020-07-27
1194351023 Supannee Sandra Lertpaichaiyon Pharmacist 32627 Presidio Hills Ln, Winchester, CA 92596-8434 2020-03-23
1720376171 Ildiko Venczel Pharmacist 30712 Benton Rd, Winchester, CA 92596-8466 2011-07-19
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Taxonomy Information

Taxonomy Code 163WH0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Home Health

Taxonomy Definition

Definition to come...

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Competitor

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City WINCHESTER
Zip Code 92596

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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