JUAN CARLOS REYNA
NPI 1134756752
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Q: What is Juan Reyna's NPI number?

The NPI number for Juan Reyna is 1134756752. It was assigned to this individual provider in the NPPES registry on March 24, 2020.

Q: What is Juan Reyna's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Juan Reyna was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2020PECOS Enrolled

513 PARNASSUS AVE # S321, SAN FRANCISCO, CA 94143(415) 476-1239 Get Directions Write a Review

NPPES record last updated: March 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Juan Carlos Reyna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUAN CARLOS REYNA (NPI 1134756752) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134756752

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJUAN CARLOS REYNA

Location Address513 PARNASSUS AVE # S321San Francisco, CA 94143-2205

Mailing Address513 Parnassus Ave # S321San Francisco, CA 94143-2205

Phone(415) 476-1239

Sole ProprietorYes

Enumeration DateMarch 24, 2020

NPPES CertifiedMarch 24, 2020

✔ NPI 1134756752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

513 PARNASSUS AVE # S321, San Francisco, CA 94143

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Carlos Reyna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JONATHAN BERHANU EJIE

Student in an Organized Health Care Education/Training Program