IndividualActive
Jehan Reagan, FNP
NPI 1629310057 · Family Nurse Practitioner · Los Angeles, CA
Provider details
- NPI number
- 1629310057
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 22786 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
808 W 58th St
Los Angeles, CA 90037-3632
Phone: (323) 541-1411
Street-level locationGet directions
Mailing address
700 Main St
Venice, CA 90291-2307
Registry dates
- Enumerated
- 2013-03-24
- Last updated
- 2015-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.