Provider Demographics
NPI:1710783410
Name:ELVINA, FRISHA FAY REYES (RRT)
Entity type:Individual
Prefix:MRS
First Name:FRISHA FAY
Middle Name:REYES
Last Name:ELVINA
Suffix:
Gender:
Credentials:RRT
Other - Prefix:MISS
Other - First Name:FRISHA
Other - Middle Name:FAY
Other - Last Name:REYES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:4259 SOLAR CIR
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-4044
Mailing Address - Country:US
Mailing Address - Phone:510-258-1157
Mailing Address - Fax:
Practice Address - Street 1:225 N JACKSON AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1603
Practice Address - Country:US
Practice Address - Phone:408-259-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30345227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered