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

Mary Ann Reveles

Individual provider Family Nurse Practitioner · NPI 1164149621

Mary Ann Reveles is a Nurse Practitioner in Thousand Oaks, California. Graduated from University of California, Davis School of Medicine in 2022, 4 years ago. Practices with Carbon Health Medical Group of California PC, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
4
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

33 W Thousand Oaks Blvd Ste A-2
Thousand Oaks, CA 91360-4416
Phone: (805) 497-7888
Fax: (805) 494-3498
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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 95022758 (CA)

Record details

NPI number1164149621
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 25, 2022
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Carbon Health Medical Group Of California Pc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Thousand Oaks