IRAIDA REYNOSO
NPI 1174683189
Marriage & Family Therapist in San Diego, CA
About Iraida Reynoso NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IRAIDA REYNOSO (NPI 1174683189) is an individual marriage & family therapist in San Diego, California and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Iraida Reynoso is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
SAN DIEGO, CA 92173
SAN YSIDRO, CA 92173
SAN YSIDRO, CA 92173
SAN DIEGO, CA 92173
SAN YSIDRO, CA 92173
SAN DIEGO, CA 92173
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 Iraida Reynoso's NPI number?
The NPI number for Iraida Reynoso is 1174683189. It was assigned to this individual provider in the NPPES registry on December 11, 2006.
Where is Iraida Reynoso located?
Iraida Reynoso practices at 1666 Precision Park Ln, San Diego, CA 92173. The listed phone number is (619) 662-4100.
What is Iraida Reynoso's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Iraida Reynoso enrolled in Medicare?
Yes. Iraida Reynoso is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Iraida Reynoso was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Iraida Reynoso · NPI 1174683189
Marriage & Family Therapist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since December 11, 2006.
## Identity
- **NPI:** 1174683189 (Entity type: Individual)
- **Enumerated:** December 11, 2006
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1666 PRECISION PARK LN, San Diego, CA 92173-1346
- **Phone:** (619) 662-4100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** April 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174683189) · Data from the CMS NPPES public registry.