Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Baldemor Reyes, FNP-BC

Individual provider Registered Nurse · NPI 1083907547

Kenneth Baldemor Reyes, FNP-BC is a Nurse Practitioner in San Diego, California. Graduated from National Medical University in 2021, 5 years ago. Practices with Ardent Medical Group PC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
5
Trained at
National Medical University
Licensed in
CA
In the registry since
2011
Specialties on file
3
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

438 Camino Del Rio S Ste 203
San Diego, CA 92108-3546
Phone: (619) 955-8507
Fax: (619) 955-8508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95018998 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95043997 (CA)
Licensed Vocational Nurse Taxonomy 164X00000X · Licence 223137 (CA)

Record details

NPI number1083907547
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedMay 17, 2011
Last updated in NPPESJanuary 10, 2025
Certification dateJanuary 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolNATIONAL MEDICAL UNIVERSITY
Graduated 2021 (5 years in practice)
Group practice Ardent Medical Group Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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