Organization Active NPI

Sonntag Reeve Medical Corp

  • Durable Medical Equipment & Medical Supplies
  • Chico, CA
National Provider Identifier
1124288774
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
71540 Issued in CA
Legal business name
SONNTAG REEVE MEDICAL CORP
Practice address
460 W East Ave Ste 110
Chico, CA 95926-7203
Phone
(530) 899-2244
Fax
(530) 899-2244
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Authorized official

Name
Dr. Robert Reeve, M.DNPI 1538172424
Title
President
Phone
(530) 899-2244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 71540 CA Primary

Addresses

Primary practice location

460 W East Ave Ste 110
Chico, CA 95926-7203

Mailing address

460 W East Ave Ste 110
Chico, CA 95926-7203
Phone (530) 899-2244

Other identifiers 2

IdentifierTypeStateIssuer
1296510001OtherCADMERC
SD0071540MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930040999 CA DME Supplier - Physician - OphthalmologyDME Supplier - Physician - Optometrist 5496876617 Practice locations: Chico, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1124288774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 W EAST AVE STE 110",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267203",
            "telephone_number": "530-899-2244",
            "fax_number": "530-899-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 W EAST AVE STE 110",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959267203",
            "telephone_number": "530-899-2244",
            "fax_number": "530-899-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONNTAG REEVE MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "REEVE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-899-2244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "71540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1296510001",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0071540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.