REYNALDO L REYES JR. PHYSICIAN ASSISTANT
NPI 1306800644
Military Health Care Provider - Independent Duty Corpsman in San Diego, CA

NPI Status: Active since April 13, 2006

Contact Information

35000 GUADALCANAL ST
BRANCH MEDICAL CLINIC MARINE CORPS RECRUIT DEPOT
SAN DIEGO, CA
ZIP 92140
Phone: (619) 532-4056

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  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Corpsman
  • PECOS Enrolled

About REYNALDO REYES

This page provides the complete NPI Profile along with additional information for Reynaldo Reyes, a provider established in San Diego, California with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1306800644 assigned on April 2006. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1306800644
Provider Name
REYNALDO L REYES JR. PHYSICIAN ASSISTANT
Gender
Male
Entity Type
Individual
Location Address
35000 GUADALCANAL ST BRANCH MEDICAL CLINIC MARINE CORPS RECRUIT DEPOT SAN DIEGO, CA 92140
Location Phone
(619) 532-4056
Mailing Address
12497 CONQUISTADOR WAY SAN DIEGO, CA 92128
Mailing Phone
(858) 603-3106
Is Sole Proprietor?
Yes
Enumeration Date
04-13-2006
Last Update Date
09-22-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Military Health Care Provider Independent Duty Corpsman

Taxonomy Code
1710I1002X
Type
Other Service Providers
Taxonomy Description
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

58601 (CA)

Medicare Participation & PECOS Enrollment Status

Reynaldo Reyes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1306800644, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
0
Doubled → 0
Pos 4
6
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 0 + 6 + 1 + 6 + 0 + 0 + 6 + 8 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1306800644.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Military Health Care Provider (Independent Duty Corpsman)
35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MCRD
SAN DIEGO, CA 92140
Military Health Care Provider (Independent Duty Corpsman)
35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MCRD
SAN DIEGO, CA 92140
Military Health Care Provider (Independent Duty Corpsman)
35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MCRD
SAN DIEGO, CA 92140
Clinic/Center (Military/U.S. Coast Guard Outpatient)
35000 GUADALCANAL ST, BRANCH MEDICAL CLINIC MCRD
SAN DIEGO, CA 92140
Military Health Care Provider
35000 GUADALCANAL ST
SAN DIEGO, CA 92140
Physician Assistant
35000 GUADALCANAL ST
SAN DIEGO, CA 92140
Specialist/Technologist (Athletic Trainer)
35000 GUADALCANAL ST
SAN DIEGO, CA 92140
Physician Assistant
35000 GUADALCANAL ST
SAN DIEGO, CA 92140
Audiologist
35000 GUADALCANAL ST
SAN DIEGO, CA 92140
Physician Assistant
35000 GUADALCANAL ST
SAN DIEGO, CA 92140
Military Health Care Provider (Independent Duty Corpsman)
35000 GUADALCANAL ST
SAN DIEGO, CA 92140
Emergency Medical Technician, Paramedic
35000 GUADALCANAL ST
SAN DIEGO, CA 92140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306800644, enumerated as an "individual" on April 13, 2006.

The provider is located at 35000 GUADALCANAL ST BRANCH MEDICAL CLINIC MARINE CORPS RECRUIT DEPOT SAN DIEGO, CA 92140 and the phone number is (619) 532-4056.

Military Health Care Provider with taxonomy code 1710I1002X and a focus in Independent Duty Corpsman.