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NICOLAS REYES MD
NPI 1710484704
Family Medicine in Long Beach, CA

Active since April 06, 2018PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
6400 E PACIFIC COAST HWY STE D210, LONG BEACH, CA 90803(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 14, 2025, Jul 13, 2022, Jun 8, 2022 and 5 more (8 updates tracked since 2018).

About Nicolas Reyes Md NPPES

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

NICOLAS REYES MD (NPI 1710484704) is an individual family medicine provider in Long Beach, California, licensed in California (A166783) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2018).

NPPES Registry Identity

NPI1710484704
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLAS REYESCredential: MD
Location Address6400 E PACIFIC COAST HWY STE D210Long Beach, CA 90803-4265
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Phone(888) 663-6331
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2018
Enumeration DateApril 6, 2018
Last NPPES UpdateMarch 14, 20258 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1710484704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A166783
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6400 E PACIFIC COAST HWY STE D210, Long Beach, CA 90803
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Other Names 1

Former Name (1)Nicolas Derr Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicolas Reyes Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971911876
PECOS Enrollment IDI20220614001587
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicolas Reyes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

One Medical Seniors Group, Inc.
27 mi
Family Medicine
9725 WILSHIRE BLVD
Beverly Hills, CA 90212
  • Reassigned Medicare billing, California enrollment
  • 48 clinicians in this Medicare group
NPI 1760130413 (323) 305-7150
Providence Saint Johns Medical Foundation
28 mi
Specialist
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
  • Reassigned Medicare billing, California enrollment
  • 461 clinicians in this Medicare group
NPI 1770093734 (310) 582-7312

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90803 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRIA ALARICE LEE M.D.
Internal Medicine
6400 E PACIFIC COAST HWY STE D210
LONG BEACH, CA 90803
Los Angeles County (888) 663-6331
TAWNY MINNA GROSSMAN NP
Nurse Practitioner (Family)
6400 E PACIFIC COAST HWY STE D210
LONG BEACH, CA 90803
Los Angeles County (415) 658-6791
DR. DIPESHBHAI R BHAKTA M.D.
Family Medicine
6400 E PACIFIC COAST HWY STE D210
LONG BEACH, CA 90803
Los Angeles County (888) 663-6331

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 Nicolas Reyes's NPI number?

The NPI number for Nicolas Reyes is 1710484704. It was assigned to this individual provider in the NPPES registry on April 6, 2018. The provider is also known as Nicolas Derr MD.

Where is Nicolas Reyes located?

Nicolas Reyes practices at 6400 E Pacific Coast Hwy Ste D210, Long Beach, CA 90803. The listed phone number is (888) 663-6331.

What is Nicolas Reyes's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicolas Reyes enrolled in Medicare?

Yes. Nicolas Reyes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nicolas Reyes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Reyes reassigns Medicare benefits to 2 organizations: One Medical Seniors Group, Inc. (Beverly Hills, CA) and Providence Saint Johns Medical Foundation (Santa Monica, CA). Each 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 Nicolas Reyes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicolas Reyes was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.