Provider Demographics
NPI:1285523860
Name:REYES CASAS, ISIDRO IVAN JR (MED)
Entity type:Individual
Prefix:
First Name:ISIDRO
Middle Name:IVAN
Last Name:REYES CASAS
Suffix:JR
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 LORAYNE CT APT C
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95926-3772
Mailing Address - Country:US
Mailing Address - Phone:661-421-6317
Mailing Address - Fax:
Practice Address - Street 1:3435 SILVERBELL RD
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-0386
Practice Address - Country:US
Practice Address - Phone:530-487-7265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst