DR. WILLIAM L VAN DER REIS
NPI 1710911078
Specialist in San Clemente, CA

Q: What is William Van Der Reis's NPI number?

The NPI number for William Van Der Reis is 1710911078. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is William Van Der Reis's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

653 CAMINO DE LOS MARES STE 109, SAN CLEMENTE, CA 92673(949) 661-2423(949) 661-9205 Get Directions Write a Review

NPPES record last updated: April 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. William L Van Der Reis NPPES

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

DR. WILLIAM L VAN DER REIS (NPI 1710911078) is an individual specialist in San Clemente, California, licensed in California (G81476) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Js Weill Medical College, Cornell University (1993).

NPPES Registry Identity

NPI1710911078

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDR. WILLIAM L VAN DER REIS

Location Address653 CAMINO DE LOS MARES STE 109San Clemente, CA 92673-2808

Mailing Address653 Camino De Los Mares Ste 109San Clemente, CA 92673-2808 · (949) 661-2423 · Fax (949) 661-9205

Phone(949) 661-2423

Fax(949) 661-9205

Sole ProprietorNo

Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1993

Enumeration DateJuly 10, 2006

Last NPPES UpdateApril 22, 2014

✔ NPI 1710911078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · G81476

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

653 CAMINO DE LOS MARES STE 109, San Clemente, CA 92673

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Other Identifiers 1

Medicare UPINF36456CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA, Kaiser Permanente.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. William L Van Der Reis 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 ID648277855

PECOS Enrollment IDI20220729002190

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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

281 services48 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

105 services77 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

68 services51 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

66 services66 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

47 services30 patients

Aspiration and/or injection of fluid from large joint 20610

26 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120001

Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County

Emergency services Birthing friendly

North Hawaii Community Hospital, Inc

Acute Care Hospitals · Kamuela, HI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120028

Location67 1125 Mamalahoa HighwayKamuela, HI 96743 · Hawaii County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

MISS DARCY SCHROER PA

Physician Assistant (Medical)