Karen A. Reardon, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

G74304 Issued in CA

Practice address

1079 Eucalyptus Street
Ste a
Manteca, CA 95337-4317

Phone

(209) 284-4561

Fax

(209) 284-4562

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arthritis and Rheumatism Center Inc., a Medical Corporation

  • Rheumatology Physician
  • Manteca, CA
  • NPI 1477914232
  Medicare reassignment NPD
• Redding Rancheria

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1104859354
  Medicare reassignment NPD
• Northwest Allied Physicians LLC

  • General Practice Physician
  • Tucson, AZ
  • NPI 1003833179

  Internal Medicine

  Medicare reassignment NPD
• Redding Rancheria

  dba Redding Rancheria Center for Advanced Care

  • Federally Qualified Health Center (FQHC)
  • Redding, CA
  • NPI 1780423244
  NPD
• Northwest Allied Physicians, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oro Valley, AZ
  • NPI 1821302910
  NPD
• Rheumatology Associates PC

  • Rheumatology Physician
  • Redding, CA
  • NPI 1326898594
  NPD (past)
• Ton San Xavier Health Center

  dba Ton San Xavier Health Center Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Tucson, AZ
  • NPI 1518905793
  NPD (past)
• Ton Sells Hospital

  dba Ton Sells Hospital Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Sells, AZ
  • NPI 1699717785
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1013095827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1079 EUCALYPTUS STREET",
            "address_2": "STE A",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374317",
            "telephone_number": "209-284-4561",
            "fax_number": "209-284-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1079 EUCALYPTUS STREET",
            "address_2": "STE A",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953374317",
            "telephone_number": "209-284-4561",
            "fax_number": "209-284-4562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Airpark Drive",
            "address_2": "Ste 305",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012462",
            "country_code": "US",
            "telephone_number": "209-284-4561",
            "fax_number": "209-284-4562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 W Eaton Avenue",
            "address_2": "Ste C",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953763454",
            "country_code": "US",
            "telephone_number": "209-284-4561",
            "fax_number": "209-284-4562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6600 Madison Avenue",
            "address_2": "Ste 2",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956080645",
            "country_code": "US",
            "telephone_number": "209-284-4561",
            "fax_number": "209-284-4562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REARDON",
        "first_name": "KAREN",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "G74304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harpradeep Ratia, DMD
• Alexis Lauren Rauchman
• Kendell Lee Taylor Ravotti, PT, DPT
• Denise Ray
• Rosie Maria Raya
• Erielle Ann Apelo Reed, MS
• Reeves, DDS and Lavalley, DDS, a Dental Corporation (Kids Care Dental & Orthodontics - Manteca)
• Jody A Reff, PT
• Sandrine Sandrine Reffell, RRT, SDS, RCPII
• Noah Relova, DPT

• Rheumatology Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.