Healthcare Provider Details

I. General information

NPI: 1770248593
Provider Name (Legal Business Name): REACH HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2021
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9051 MIRA MESA BLVD UNIT 26247
SAN DIEGO CA
92196-7011
US

IV. Provider business mailing address

PO BOX 26247
SAN DIEGO CA
92196-0247
US

V. Phone/Fax

Practice location:
  • Phone: 619-800-6443
  • Fax: 858-430-5551
Mailing address:
  • Phone: 619-800-6443
  • Fax: 858-430-5551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: FRANCES AYALASOMAYAJULA
Title or Position: PRESIDENT
Credential: DMSC, MPH, CD(DONA)
Phone: 619-800-6443