Melissa Hisako Reagan

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

Z9T4J4S3 Issued in CA

Practice address

1261 Travis Blvd Ste 100
Fairfield, CA 94533-4804

Phone

(707) 422-0543

NPI assigned

Jan 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1579305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579305600000",
    "number": "1225668205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BRIDGEWATER CIR",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945851774",
            "telephone_number": "707-389-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 TRAVIS BLVD STE 100",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334804",
            "telephone_number": "707-422-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "MELISSA",
        "middle_name": "HISAKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-18",
        "last_updated": "2020-01-18",
        "certification_date": "2020-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "Z9T4J4S3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "9885321",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Rasmussen, MD
• Akshay Ratti
• Naomi Rawls
• Megan Emily Ray, LCSW
• Ashkaun Razmara, MD, MPH
• Rebekah'S Retreat
• Odalis Amanda Rebollo Rojas
• Guadalupe Rebozzi-Aguayo
• Lesly Magaly Recendiz
• Welma Katherine Redd

• Medical Physician Assistant in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.