ERICSON P REYES
NPI 1740397413
Nurse Practitioner in Lakewood, CA

Q: What is Ericson Reyes's NPI number?

The NPI number for Ericson Reyes is 1740397413. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Q: What is Ericson Reyes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ericson Reyes was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment

3300 E SOUTH ST STE 308, LAKEWOOD, CA 90805(562) 630-3111(562) 630-3107 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2023, Apr 1, 2020 (2 updates tracked since 2020).

On this page

About Ericson P Reyes NPPES

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

ERICSON P REYES (NPI 1740397413) is an individual nurse practitioner in Lakewood, California, licensed in California (NP15834) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1740397413

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameERICSON P REYES

Location Address3300 E SOUTH ST STE 308Lakewood, CA 90805-4598

Mailing AddressPo Box 879Lakewood, CA 90714-0879 · (562) 630-3111 · Fax (562) 630-3107

Phone(562) 630-3111

Fax(562) 630-3107

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateAugust 25, 2006

Last NPPES UpdateOctober 10, 20232 updates tracked since enumeration

NPPES CertifiedOctober 10, 2023

✔ NPI 1740397413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in CA · NP15834

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3300 E SOUTH ST STE 308, Lakewood, CA 90805

Open in Google Maps ↗

Other Identifiers 2

OtherNP15834CA · Nurse Practitioner Licens

Other515085CA · Rn License

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

Ericson P Reyes 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 ID9739187907

PECOS Enrollment IDI20061122000233

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

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90805 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.

Other Providers at the Same Location NPPES 6

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

SUSAN LONG NP

Nurse Practitioner