SERGIO REYNOSO
NPI 1295553881
Student in an Organized Health Care Education/Training Program in Alameda, CA

Active since October 01, 2024
1080 MARINA VILLAGE PKWY, ALAMEDA, CA 94501(510) 418-5094 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sergio Reynoso NPPES

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

SERGIO REYNOSO (NPI 1295553881) is an individual student in an organized health care education/training program in Alameda, California and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1295553881
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSERGIO REYNOSO
Location Address1080 MARINA VILLAGE PKWYAlameda, CA 94501-6427
Mailing Address52313 Calle AliciaCoachella, CA 92236-2660 · (760) 393-1569
Sole ProprietorYes
Enumeration DateOctober 1, 2024
NPPES CertifiedOctober 1, 2024
NPI 1295553881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1080 MARINA VILLAGE PKWY, Alameda, CA 94501

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.

Contractor
1080 MARINA VILLAGE PKWY, SUITE 100
ALAMEDA, CA 94501
Counselor (Mental Health)
1080 MARINA VILLAGE PKWY
ALAMEDA, CA 94501
Counselor (Mental Health)
1080 MARINA VILLAGE PKWY
ALAMEDA, CA 94501
Student in an Organized Health Care Education/Training Program
1080 MARINA VILLAGE PKWY
ALAMEDA, CA 94501
Community/Behavioral Health
1080 MARINA VILLAGE PKWY, SUITE 100
ALAMEDA, CA 94501
Student in an Organized Health Care Education/Training Program
1080 MARINA VILLAGE PKWY
ALAMEDA, CA 94501
Clinic/Center (Mental Health (Including Community Mental Health Center))
1080 MARINA VILLAGE PKWY, SUITE 100
ALAMEDA, CA 94501
Student in an Organized Health Care Education/Training Program
1080 MARINA VILLAGE PKWY
ALAMEDA, CA 94501

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 Sergio Reynoso's NPI number?

The NPI number for Sergio Reynoso is 1295553881. It was assigned to this individual provider in the NPPES registry on October 1, 2024.

Where is Sergio Reynoso located?

Sergio Reynoso practices at 1080 Marina Village Pkwy, Alameda, CA 94501. The listed phone number is (510) 418-5094.

What is Sergio Reynoso's specialty?

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

When was this NPI record last updated?

The NPPES record for Sergio Reynoso was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.