Relymd Virtual Health Ca, PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

RELYMD VIRTUAL HEALTH CA, PC

Practice address

5341 Old Redwood Hwy Ste 210
Petaluma, CA 94954-7127

Phone

(770) 874-5400

NPI assigned

May 12, 2025

Last updated

May 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim Larsen

Title

VP, Credentialing

Phone

(770) 874-5400

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, MA, GA, CO, NY, NJ, SC, UT, ID, VA, HI, CA, TX, AZ, NH15 enrollments

Enrollment records 15

Locations

Practitioners 33

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yves-Dany Accilien, MD

  • Emergency Medicine Physician
  • Chicago, IL
  • NPI 1720571920

  GA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Timothy B Beatty, D.O.

  • Emergency Medicine Physician
  • Walterboro, SC
  • NPI 1639178064
  Medicare reassignment Care Compare group NPD
• Stephen Nicolas Dunay, MD, MHS

  • Interventional Pain Medicine Physician
  • Totowa, NJ
  • NPI 1336487834

  Emergency Medicine, FL

  Medicare reassignment Care Compare group NPD
• Jonathan Kudrowitz, PA-C

  • Physician Assistant
  • Plantation, FL
  • NPI 1265761548
  Medicare reassignment Care Compare group NPD
• Seth Portnoy, D.O.

  • Family Medicine Physician
  • Pembroke Pines, FL
  • NPI 1225176209
  Medicare reassignment Care Compare group NPD
• My Van Luu Thi Nguyen, MSN-APRN-FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
  • NPI 1598383689
  Medicare reassignment Care Compare group
• Wendy W Lin, M.D.

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1558357723
  Medicare reassignment NPD
• Jonathan D Woolery, MD, MPH, MS

  • Emergency Medicine Physician
  • Grand Terrace, CA
  • NPI 1891959730

  AZ

  Medicare reassignment NPD
• Miguel Arribas, MD

  • Emergency Medicine Physician
  • Ann Arbor, MI
  • NPI 1396195541

  CA, Single Specialty, TX

  Medicare reassignment NPD
• Matthew William Berrios, D.O.

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1689014920
  Medicare reassignment NPD
• Christopher Bodle, M.D.

  • Emergency Medicine Physician
  • Ketchum, ID
  • NPI 1720407232
  Medicare reassignment NPD
• Trina L Bogart

  • Emergency Medicine Physician
  • Loveland, CO
  • NPI 1407888191
  Medicare reassignment NPD

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1194515106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 OLD REDWOOD HWY STE 210",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949547127",
            "telephone_number": "770-874-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 OLD REDWOOD HWY STE 210",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949547127",
            "telephone_number": "770-874-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELYMD VIRTUAL HEALTH CA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "VP, CREDENTIALING",
        "authorized_official_telephone_number": "770-874-5400"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Marcella Reece, MFT
• Christina Chantel Reed, M.A. PSY D
• Justice Ariel Reed
• Jennifer Reganit
• Samantha M Reich
• Nicole Renae, MFT
• Michael Repko, M.D.
• Tina Michele Resseguie
• Danielle Restieaux-Louis, MSW, ASW
• Restore Chiropractic by Sena Griffith DC, Inc (Restore Chiropractic)

• Emergency Medicine Physician in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.