MIA CARMEN REYES
NPI 1407517493
Physician Assistant in Los Angeles, CA

Active since January 03, 2022PECOS Enrolled
1401 S GRAND AVE, LOS ANGELES, CA 90015(213) 748-2411 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mia Carmen Reyes NPPES

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

MIA CARMEN REYES (NPI 1407517493) is an individual physician assistant in Los Angeles, California and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407517493
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIA CARMEN REYES
Location Address1401 S GRAND AVELos Angeles, CA 90015-3010
Mailing Address220 S Juanita Ave Unit ARedondo Beach, CA 90277-3438 · (310) 292-1835
Sole ProprietorNo
Enumeration DateJanuary 3, 2022
NPPES CertifiedJanuary 3, 2022
NPI 1407517493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1401 S GRAND AVE, Los Angeles, CA 90015

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mia Carmen Reyes 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Student in an Organized Health Care Education/Training Program
1401 S GRAND AVE
LOS ANGELES, CA 90015
Nurse Anesthetist, Certified Registered
1401 S GRAND AVE
LOS ANGELES, CA 90015
Student in an Organized Health Care Education/Training Program
1401 S GRAND AVE
LOS ANGELES, CA 90015
Physician Assistant
1401 S GRAND AVE
LOS ANGELES, CA 90015
Emergency Medicine
1401 S GRAND AVE
LOS ANGELES, CA 90015
Anesthesiology
1401 S GRAND AVE
LOS ANGELES, CA 90015
Emergency Medicine
1401 S GRAND AVE
LOS ANGELES, CA 90015
Student in an Organized Health Care Education/Training Program
1401 S GRAND AVE
LOS ANGELES, CA 90015

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 Mia Reyes's NPI number?

The NPI number for Mia Reyes is 1407517493. It was assigned to this individual provider in the NPPES registry on January 3, 2022.

Where is Mia Reyes located?

Mia Reyes practices at 1401 S Grand Ave, Los Angeles, CA 90015. The listed phone number is (213) 748-2411.

What is Mia Reyes's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mia Reyes enrolled in Medicare?

Yes. Mia Reyes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mia Reyes was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.