Individual provider Active NPI

Joan Reynolds, M.D.

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1245276450
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
G46213 Issued in CA
Practice address
2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone
(925) 296-7150
Fax
(925) 296-7171
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G46213 CA Primary

Addresses

Primary practice location

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536

Mailing address

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone (925) 296-7150

Other identifiers 3

IdentifierTypeStateIssuer
300039422OtherCARAILROAD MEDICARE
300047916OtherCARAILROAD MEDICARE
300104406OtherCARAILROAD MEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602001227 CA Practitioner - Diagnostic Radiology 3971546722 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York Medical College, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 947-5320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46213CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Jul 29, 1997 Accepting new patients
Michael P Sherman MD PHD, a Medical Corporation CurrentSince Dec 16, 2009 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Aug 1, 2015 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince Dec 6, 2007 Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Apr 13, 2017 Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2001 Dwight Way
Ste A
Berkeley, CA 94704
Phone (210) 204-4460

2400 Balfour Rd
Brentwood, CA 94513
Phone (925) 308-8100

20103 Lake Chabot Rd
Ste 103
Castro Valley, CA 94546
Phone (510) 899-5052

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2410 High School Ave
Concord, CA 94520
Phone (925) 687-5600

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

300 Hospital Dr
#1112
Vallejo, CA 94589
Phone (707) 554-4107

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

500 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 939-9610

1220 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 947-3393

2125 Oak Grove Rd
Ste 200
Walnut Creek, CA 94598
Phone (925) 993-9440

1656 N California Blvd
Ste 250
Walnut Creek, CA 94596
Phone (925) 947-3242

115 La Casa Via
#100
Walnut Creek, CA 94598
Phone (925) 295-1545

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2405 Shadelands Dr
Ste 110
Walnut Creek, CA 94598
Phone (925) 210-8600

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1245276450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "JOAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G46213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300039422",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300047916",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300104406",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.