ERICSON P REYES – Nurse Practitioner, NPI 1740397413

ERICSON P REYES is a healthcare provider. based in Lakewood, California. specializing in NURSE PRACTITIONER. They hold a License No. NP15834 (CA). The NPI Number for ERICSON P REYES is 1740397413

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
ERICSON P REYES
NPI
1740397413
Phone
(562) 630-3111
Address
PO BOX 879
Enumeration Date
25 August 2006
Last Update Date
10 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5626303111
Graduation Year
2005 (21 years ago)
PAC ID
9739187907
Group Practice PAC ID
3476580838
Professional Enrollment ID
I20061122000233
Address ID
CA908054598LA3300XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

16,538 NURSE PRACTITIONER in CA

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Provider Addresses for ERICSON P REYES

  • PO BOX 879

    LAKEWOOD, CA 907140879

    Phone: (562) 630-3111

    Fax: (562) 630-3107

    Type: Mailing

  • 308, South Street, Lakewood, Ocean County, New Jersey, 08701, United States

    LAKEWOOD, CA 908054598

    Phone: (562) 630-3111

    Fax: (562) 630-3107

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: Fresenius USA Marketing, Inc. ($60).

Total Amount

$60

General + Research + Ownership

Payments

3

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-11-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20061122000233INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90714)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476580838View full group profile
NameSpecialtyState
Nurse PractitionerCA
-CA
Physician AssistantGA
N E P H R O L O G YOH
Internal Medicine, NephrologyCA
N E P H R O L O G YCA
Nephrology, Internal MedicineCA
Nephrology, Internal MedicineCA

Reviews

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Frequently asked questions

What is the standard ID for ERICSON P REYES in the U.S.?
In the U.S., ERICSON P REYES is identified by NPI 1740397413.
Is ERICSON P REYES currently accepting referrals based on NPI status?
Registry metadata lists ERICSON P REYES as active.
What does the directory say ERICSON P REYES does?
Insurance directories may phrase it differently, but here ERICSON P REYES maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ERICSON P REYES tied to Lakewood, California?
If you are local to Lakewood, California, ERICSON P REYES may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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