Question 1

What type of a medical provider is Marlon Roa Reyes?

Accepted Answer

Marlon Roa Reyes is a Nurse Practitioner (Psych/Mental Health).

Question 2

Where does Marlon Roa Reyes practice medicine?

Accepted Answer

Marlon Roa Reyes has the following practice address:1225 W 190TH ST STE 280, GARDENA, CA 90248-4305

Question 3

Does this provider have a license number?

Accepted Answer

Marlon Roa Reyes has 3 license numbers, including: License Number 11019279 issued in Florida.

Question 4

Does Marlon Roa Reyes accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Marlon Roa Reyes have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Marlon Roa Reyes a member of any Medical Groups?

Accepted Answer

Marlon Roa Reyes is affiliated with one medical group in the GARDENA area, EHAB YACOUB MD INC..

Question 7

Does Marlon Roa Reyes participate in PECOS?

Accepted Answer

Yes, Marlon Roa Reyes participates in PECOS.

Question 8

What phone number can I call to contact Marlon Roa Reyes?

Accepted Answer

You can call the following number: (310)-515-8113

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Marlon Roa Reyes.

Question 10

Is Marlon Roa Reyes  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 2 years ago (6/2/2023).

Taxonomy	State	Primary?
Nurse Practitioner (Psych/Mental Health) - Taxonomy Code 363LP0808X	CA	Y
Single Specialty Group - Taxonomy Code 193400000X	CA	N
Nurse Practitioner (Psych/Mental Health) - Taxonomy Code 363LP0808X	FL	N
Nurse Practitioner (Psych/Mental Health) - Taxonomy Code 363LP0808X	NV	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20221111000919
PECOS Individual PAC ID:	2264809862
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Marlon Roa Reyes

Overview