Individual provider Active NPI

Sara Jamie Reinganum, MD

  • Surgery Physician
  • San Leandro, CA
National Provider Identifier
1083647523
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G70642 Issued in CA
Practice address
13847 East 14TH Street
Suite 109
San Leandro, CA 94578-2625
Phone
(510) 357-7141
Fax
(510) 357-4274
NPI assigned
Jul 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G70642 CA Primary

Addresses

Primary practice location

13847 East 14TH Street
Suite 109
San Leandro, CA 94578-2625

Mailing address

13847 East 14TH Street
Suite 109
San Leandro, CA 94578-2625
Phone (510) 357-7141

Other identifiers 1

IdentifierTypeStateIssuer
00G706420MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000958 CA Practitioner - General Surgery 3678609641 Reassigns benefits to 1 organization
Practice locations: San Leandro, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northwestern University Feinberg Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Epic CareGroup PAC ID 5890053094, 54 clinicians

Practice addresses (Care Compare)

13851 E 14TH St
Suite 308
San Leandro, CA 94578-2630
Phone (510) 351-1193

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy13
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Care CurrentSince Feb 13, 2018 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
Hayward Sisters Hospital Past Accepting new patients

Locations

4721 Dallas Ranch Rd
Antioch, CA 94531
Phone (925) 676-2600

20400 Lake Chabot Rd
Ste 102
Castro Valley, CA 94546
Phone (510) 247-9227

13847 E 14th St
Ste 109
San Leandro, CA 94578
Phone (510) 347-7141

13847 E 14th St
Ste 209
San Leandro, CA 94578
Phone (510) 895-9505

13847 E 14th St
Ste 217
San Leandro, CA 94578
Phone (510) 483-2555

13851 E 14th St
Ste 308
San Leandro, CA 94578
Phone (510) 351-1193

355 Lennon Ln
Ste 205
Walnut Creek, CA 94598
Phone (925) 935-0627

Interoperability endpoints

  • Direct secure messaging: sreinganum111888@ehr.johnmuirhealth.com
  • Direct secure messaging: sreinganum141698@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083647523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13847 EAST 14TH STREET",
            "address_2": "SUITE 109",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782625",
            "telephone_number": "510-357-7141",
            "fax_number": "510-357-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 EAST 14TH STREET",
            "address_2": "SUITE 109",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782625",
            "telephone_number": "510-357-7141",
            "fax_number": "510-357-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINGANUM",
        "first_name": "SARA",
        "middle_name": "JAMIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G70642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G706420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.