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EDITH REYES
NPI 1710535141
Nurse Practitioner - Family in Stockton, CA

Active since August 28, 2019
4815 PALMER AVE, STOCKTON, CA 95215(209) 430-1179 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edith Reyes NPPES

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

EDITH REYES (NPI 1710535141) is an individual family provider in Stockton, California, licensed in California (95011503) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1710535141
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDITH REYES
Location Address4815 PALMER AVEStockton, CA 95215-1824
Mailing Address4815 Palmer AveStockton, CA 95215-1824 · (209) 430-1179
Phone(209) 430-1179
Sole ProprietorNo
Enumeration DateAugust 28, 2019
✔ NPI 1710535141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95011503
4815 PALMER AVE, Stockton, CA 95215
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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 Edith Reyes's NPI number?

The NPI number for Edith Reyes is 1710535141. It was assigned to this individual provider in the NPPES registry on August 28, 2019.

Where is Edith Reyes located?

Edith Reyes practices at 4815 Palmer Ave, Stockton, CA 95215. The listed phone number is (209) 430-1179.

What is Edith Reyes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Edith Reyes was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.