Individual provider Active NPI

James L Reith, PA-C

  • Physician Assistant
  • Palmdale, CA
National Provider Identifier
1215943758
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13597 Issued in CA
Practice address
631 W Avenue Q Ste B
Palmdale, CA 93551-3892
Phone
(661) 947-9000
Fax
(661) 266-8751
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 13597 CA
Physician Assistant 363A00000X PA13597 CA Primary

Addresses

Primary practice location

631 W Avenue Q Ste B
Palmdale, CA 93551-3892

Mailing address

2409 Artesia Blvd FL 2
Redondo Beach, CA 90278-3207
Phone (424) 276-4700

Other practice location 1

5051 Verdugo Way
Suite 100
Camarillo, CA 93012-8680
Phone (805) 384-8071

Other identifiers 1

IdentifierTypeStateIssuer
PA13597OtherCAPA LICENSE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000557 CA Practitioner - Physician Assistant 9133145691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

4805 Centennial Plaza Way
Bakersfield, CA 93312-1905
Phone (661) 322-2700

621 W Line St
Suite 105
Bishop, CA 93514-3320
Phone (760) 873-8781

74320 Hwy 111
Suite 100
Palm Desert, CA 92260-4140
Phone (760) 423-5610

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
91.59
Promoting interoperability
94
Improvement activities
40
Cost
76.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13597CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System Past Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1215943758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 ARTESIA BLVD FL 2",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783207",
            "telephone_number": "424-276-4700",
            "fax_number": "424-903-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 W AVENUE Q STE B",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513892",
            "telephone_number": "661-947-9000",
            "fax_number": "661-266-8751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5051 Verdugo Way",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930128680",
            "country_code": "US",
            "telephone_number": "805-384-8071",
            "fax_number": "805-987-1927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REITH",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "13597",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA13597",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.