Active NPI
James B Reynolds, MD
- Orthopaedic Surgery of the Spine Physician
- Daly City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- G18657
- Practice address
- 455 Hickey Blvd Ste 310
Daly City, CA 94015-2630 - Phone
- (650) 985-7500
- Fax
- (650) 731-4434
- NPI assigned
- Feb 2, 2006
- Last updated
- Apr 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G18657 | CA | Primary |
Addresses
Primary practice location
455 Hickey Blvd Ste 310
Daly City, CA 94015-2630
Mailing address
455 Hickey Blvd Ste 310
Daly City, CA 94015-2630
Phone (650) 985-7500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0041210 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Saint Louis University School of Medicine, 1969
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1850 Sullivan Ave
Suite 200
Daly City, CA 94015-2204
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 29 |
| Laminectomy or laminotomy (partial removal of spine bones) | 23 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G18657 | CA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peninsula Orthopedic Associates, Inc. | Orthopaedic Surgery of the Spine | Current | Accepting new patients |
Locations
1850 Sullivan Ave
Ste 330
Daly City, CA 94015
Phone (650) 756-5630
455 Hickey Blvd
Ste 310
Daly City, CA 94015
Phone (650) 339-1000
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Daly City, CA
- NPI 1154464329
Orthopaedic Surgery of the Spine
-
- Orthopaedic Surgery of the Spine Physician
- Daly City, CA
- NPI 1720050859
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Seton Medical Center ,Seton Medical Center Coastside
- General Acute Care Hospital
- Daly City, CA
- NPI 1023636545
-
dba Seton Medical Center, Seton Medica Center Coastside
- Psychiatric Hospital Unit
- Daly City, CA
- NPI 1639797855
-
dba Sequoia Hospital
- General Acute Care Hospital
- Redwood City, CA
- NPI 1568646735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1194797357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 HICKEY BLVD STE 310",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152630",
"telephone_number": "650-985-7500",
"fax_number": "650-731-4434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 HICKEY BLVD STE 310",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940152630",
"telephone_number": "650-985-7500",
"fax_number": "650-731-4434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "JAMES",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G18657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0041210",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Daly City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.