MAGNOLIA NURSING PROFESSIONAL CORPORATION
NPI 1629720883
Nurse Practitioner - Family in Los Angeles, CA
About Magnolia Nursing Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAGNOLIA NURSING PROFESSIONAL CORPORATION (NPI 1629720883) is a healthcare organization registered as a family in Los Angeles, California and active in the NPI registry since January 2022. The organization lists Christian Reyes, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Magnolia Nursing Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Magnolia Nursing Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Magnolia Nursing Professional Corporation's NPI number?
The NPI number for Magnolia Nursing Professional Corporation is 1629720883. It was assigned to this organization in the NPPES registry on January 19, 2022.
Where is Magnolia Nursing Professional Corporation located?
Magnolia Nursing Professional Corporation is located at 3435 Wilshire Blvd Ste 2780, Los Angeles, CA 90010. The listed phone number is (714) 785-3639.
What is Magnolia Nursing Professional Corporation's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Magnolia Nursing Professional Corporation enrolled in Medicare?
Yes. Magnolia Nursing Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Magnolia Nursing Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Magnolia Nursing Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Magnolia Nursing Professional Corporation was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Magnolia Nursing Professional Corporation · NPI 1629720883
Family organization in Los Angeles, California. Organization record, active in the CMS NPPES registry since January 19, 2022.
## Identity
- **NPI:** 1629720883 (Entity type: Organization)
- **Enumerated:** January 19, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Christian Reyes, PRESIDENT
## Practice location
- **Address:** 3435 WILSHIRE BLVD STE 2780, Los Angeles, CA 90010-1901
- **Phone:** (714) 785-3639
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1629720883) · Data from the CMS NPPES public registry.