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RAUL REYES HERNANDEZ M.D.
NPI 1932494226
Student in an Organized Health Care Education/Training Program in Santa Monica, CA

Active since June 14, 2011PECOS EnrolledAccepts Medicare Assignment
1920 COLORADO AVE, SANTA MONICA, CA 90404(310) 319-4711 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Raul Reyes Hernandez M.d. NPPES

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

RAUL REYES HERNANDEZ M.D. (NPI 1932494226) is an individual student in an organized health care education/training program in Santa Monica, California and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1932494226
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRAUL REYES HERNANDEZCredential: M.D.
Location Address1920 COLORADO AVESanta Monica, CA 90404-3414
Mailing Address1856 S Bundy Dr, Apt 6Los Angeles, CA 90025-5218 · (818) 395-6373
Phone(310) 319-4711
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 14, 2011
Last NPPES UpdateNovember 29, 2021
✔ NPI 1932494226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1920 COLORADO AVE, Santa Monica, CA 90404
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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

Raul Reyes Hernandez M.d. 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 ID9739483884
PECOS Enrollment IDI20160210000298
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 Raul Reyes Hernandez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Los Angeles
0.8 mi
Public Health, State or Local
2509 PICO BLVD
Santa Monica, CA 90405
  • Reassigned Medicare billing, California enrollment
  • 1,939 clinicians in this Medicare group
NPI 1235323080 (310) 998-3203
Southern California Permanente Medical Group
5.9 mi
Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1043242563 (323) 857-2000

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

Other Providers at the Same Location NPPES 20

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

MERON ABREHAM MD
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4700
STEVEN JOSEPH SHOPTAW M.D.
Psychologist (Clinical)
1920 COLORADO AVE
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4700
OLIVIA TAEKO ISHIBASHI MD, MPH
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4700
DR. BRIAN YOSHIO LAING M.D.
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4700
JENNIFER ELIZABETH MACDONALD M.D.
Student in an Organized Health Care Education/Training Program
1920 COLORADO AVE
SANTA MONICA, CA 90404
Los Angeles County (320) 267-7136
THALIA NGUYEN MD
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4700
AMILY DARA TUOT MD
Student in an Organized Health Care Education/Training Program
1920 COLORADO AVE
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4700
DR. MEVAN DHAANU HAPPAWANA MD
Family Medicine
1920 COLORADO AVE
SANTA MONICA, CA 90404
Los Angeles County (310) 319-4700

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 Raul Reyes Hernandez's NPI number?

The NPI number for Raul Reyes Hernandez is 1932494226. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Raul Reyes Hernandez located?

Raul Reyes Hernandez practices at 1920 Colorado Ave, Santa Monica, CA 90404. The listed phone number is (310) 319-4711.

What is Raul Reyes Hernandez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Raul Reyes Hernandez enrolled in Medicare?

Yes. Raul Reyes Hernandez 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 Raul Reyes Hernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Reyes Hernandez reassigns Medicare benefits to 2 organizations: County Of Los Angeles (Santa Monica, CA) and Southern California Permanente Medical Group (Los Angeles, 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 Raul Reyes Hernandez'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 Raul Reyes Hernandez was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.