MR. EDMOND CHAN REYES (NPI# 1659449221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659449221 |
| Entity Type | Individual |
| Full Name | MR. EDMOND CHAN REYES |
| Credential | INDEPENDENT CORPSMAN |
| Practice Address |
Naval Air Station North Island Bldg 290 Sandiego CA 92135 |
| Mailing Address |
35755 Coral Dr Winchester CA 92596 |
| Practice Telephone | 6197671496 |
| Practice Fax Number | 6197671497 |
| Mailing Telephone | 9518528530 |
| Mailing Fax Number | 6197671497 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | CA | Other Service Providers |
| Street Address |
NAVAL AIR STATION NORTH ISLAND BLDG 290 |
| City | SANDIEGO |
| State | CA |
| Zip Code | 92135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053872275 | Erika Hernandez | Dental Hygienist | 600 Mc Cain Blvd, San Diego, CA 92135 | 2019-03-29 |
| 1144723289 | Andrew T Bagby | General Practice | 601 Mc Cain Blvd, San Diego, CA 92135 | 2018-03-15 |
| 1780124792 | Larry Alenbaugh Optometry | Optometrist | Nas North Island Building 2017, San Diego, CA 92135 | 2017-02-24 |
| 1215389507 | Dana Gampel | Optometrist | Nas North Island Nex Building 2017, San Diego, CA 92135 | 2016-07-11 |
| 1801288634 | Branch Medical Clinic Nalf San Clemente Island | Clinic/Center | Wilson Cove, Bldg 60126, San Clemente, CA 92135 | 2015-03-03 |
| 1902213598 | Armin Villanueva | Dental Hygienist | Mcain Blvd Building 600, San Diego, CA 92135 | 2014-07-16 |
| 1114366226 | Jennifer J Miller | Dental Hygienist | Bldg 600 Mccain Blvd, Branch Dental Clinic North Island, San Diego, CA 92135 | 2013-06-21 |
| 1902159916 | Alexis Guadalupe Chavez | Military Health Care Provider | 601 Mccain Blvd Bldg 601, Naval Air Station North Island, Coronado, CA 92135 | 2012-10-16 |
| 1295040426 | Linda Anona Farmer | Military Health Care Provider | Bldg 601 Mccain Blvd Bmc Naval Base Coronado, San Diego, CA 92135 | 2010-08-12 |
| 1508006149 | Kathy Rebecca Sullivan | Military Health Care Provider | Msron Five Medical Department, Nolf Ib Building 169, San Diego, CA 92135 | 2009-02-23 |
| Find all providers in zip 92135 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
| 1629692389 | Christopher Matey | Military Health Care Provider | 34800 Bob Wilson Dr Ste 110, San Diego, CA 92134-1110 | 2020-05-29 |
| 1982225769 | Jin Ah Kim | Military Health Care Provider | Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 | 2020-05-03 |
| 1124647680 | Katherine Koliadko | Military Health Care Provider | 11023 Evans St, Loma Linda, CA 92354-2708 | 2020-04-14 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1588292858 | Korina Erin Sandoval | Military Health Care Provider | Naval Medical Center Drive 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-03-31 |
| 1033746508 | Hannah Johnson | Military Health Care Provider | 34800 Bob Wilson Dr Ste 403, San Diego, CA 92134-1403 | 2020-03-25 |
| 1891336541 | Prana Hands Nonprofit | Military Health Care Provider | 2180 Garnet Ave Ste 3l, San Diego, CA 92109-3676 | 2019-10-03 |
| 1578124194 | David M Allen | Military Health Care Provider | 1st Mlg, Bldg 150121, Camp Pendleton, CA 92055 | 2019-06-25 |
| 1992366587 | Darion Pegues | Military Health Care Provider | 3530 Kelsey St, San Diego, CA 92124-3516 | 2019-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.