MR. EUGENIO FAJARDO REYES
NPI 1619132198
Intermediate Care Facility, Intellectual Disabilities in Lodi, CA

Active since July 23, 2008
3261 W SARGENT RD, LODI, CA 95242(925) 963-7957(209) 369-7010 Get Directions Write a Review

NPPES record last updated: July 23, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Eugenio Fajardo Reyes NPPES

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

MR. EUGENIO FAJARDO REYES (NPI 1619132198) is an individual intermediate care facility, intellectual disabilities provider in Lodi, California, licensed in California (PENDING) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1619132198
Entity TypeIndividualMale
Primary Taxonomy315P00000X
Provider Legal NameMR. EUGENIO FAJARDO REYES
Location Address3261 W SARGENT RDLodi, CA 95242-9212
Mailing Address3261 W Sargent RdLodi, CA 95242-9212 · (925) 963-7957 · Fax (209) 369-7010
Fax(209) 369-7010
Sole ProprietorYes
Enumeration DateJuly 23, 2008
NPI 1619132198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in CA · PENDING
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
3261 W SARGENT RD, Lodi, CA 95242

Other Names 1

Other Name (5)Mr. Gene F Reyes

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 Eugenio Reyes's NPI number?

The NPI number for Eugenio Reyes is 1619132198. It was assigned to this individual provider in the NPPES registry on July 23, 2008. The provider is also known as Mr. Gene F Reyes.

Where is Eugenio Reyes located?

Eugenio Reyes practices at 3261 W Sargent Rd, Lodi, CA 95242. The listed phone number is (925) 963-7957.

What is Eugenio Reyes's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Eugenio Reyes was last updated on July 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.