SUSAN JEAN REYNOLDS RN, CPNP
NPI 1154459287
Nurse Practitioner - Pediatrics in Garden Grove, CA

Active since March 01, 2007
9802 WOODBURY AVE, GARDEN GROVE, CA 92844(714) 663-6411(714) 663-6470 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susan Jean Reynolds Rn, Cpnp NPPES

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

SUSAN JEAN REYNOLDS RN, CPNP (NPI 1154459287) is an individual pediatrics provider in Garden Grove, California, licensed in California (230910) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1154459287
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSUSAN JEAN REYNOLDSCredential: RN, CPNP
Location Address9802 WOODBURY AVEGarden Grove, CA 92844-2819
Mailing Address20652 Farnsworth LnHuntington Beach, CA 92646-5522 · (714) 536-0348 · Fax (714) 969-2647
Fax(714) 663-6470
Sole ProprietorNo
Enumeration DateMarch 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1154459287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · 230910
9802 WOODBURY AVE, Garden Grove, CA 92844

Other Identifiers 2

OtherSS3066522CA · Provider Number
Other1458726CA · Pin#

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
9802 WOODBURY AVE
GARDEN GROVE, CA 92844
Registered Nurse (Pediatrics)
9802 WOODBURY AVE
GARDEN GROVE, CA 92844
Clinic/Center (Health Service)
9802 WOODBURY AVE
GARDEN GROVE, CA 92844
Clinic/Center (Student Health)
9802 WOODBURY AVE
GARDEN GROVE, CA 92844

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Reynolds's NPI number?

The NPI number for Susan Reynolds is 1154459287. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Susan Reynolds located?

Susan Reynolds practices at 9802 Woodbury Ave, Garden Grove, CA 92844. The listed phone number is (714) 663-6411.

What is Susan Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Susan Reynolds was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.