NPIMap

Individual provider Active NPI

Robert I. Reina, M.D.

  • Family Medicine Physician
  • Sonora, CA
National Provider Identifier
1295739845
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A54907 Issued in CA
Practice address
13975 Mono Way Ste G
Sonora, CA 95370-2824
Phone
(209) 533-9600
Fax
(209) 533-9608
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A54907 CA
Family Medicine Physician 207Q00000X A54907 CA Primary

Addresses

Primary practice location

13975 Mono Way Ste G
Sonora, CA 95370-2824

Mailing address

PO Box 939
Angels Camp, CA 95222-0939
Phone (209) 754-6262

Other identifiers 1

IdentifierTypeStateIssuer
00A549070MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081209000545 CA Practitioner - Internal Medicine 6406917475 Reassigns benefits to 2 organizations
I20241126003275 TX Practitioner - General PracticePractitioner - Internal Medicine 6406917475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Davis School of Medicine, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
M a C T Health Board IncorporatedGroup PAC ID 8325936974, 21 clinicians

Practice addresses (Care Compare)

1000 Greenley Rd
Sonora, CA 95370-5200
Phone (209) 536-5000

12140 New York Ranch Rd
Jackson, CA 95642-9407
Phone (209) 257-2400

13975 Mono Way
Sonora, CA 95370-2824
Phone (209) 533-9600

367 Creekside Dr
Bear Valley, CA 95223-9455
Phone (209) 562-0899

52 S Main St
Angels Camp, CA 95222-9153
Phone (209) 754-6262

75 Diamond Valley Rd
Unit B
Markleeville, CA 96120-9579
Phone (530) 694-2146

940 Sylva LN
Sonora, CA 95370-5969

Hospital & facility affiliations

  • Adventist Health Home Care Services Home health agency, Sonora, CA, CCN 557561
  • Careone Home Health and Hospice, Inc Home health agency, Salida, CA, CCN 059401
  • Atta Home Healthcare Home health agency, Modesto, CA, CCN 559552
  • Adventist Health Home Care Services Hospice, Sonora, CA, CCN 051609
  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54907CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Emergency Physicians Medical Group a Professional Corp Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Nov 1, 2015 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Nov 1, 2015 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Jan 1, 2016 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Current Accepting new patients
Twin Cities Community Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Sonora Community Hospital Past Accepting new patients
M a C T Health Board, Incorporated Past Accepting new patients
M a C T Health Board Incorporated Past Accepting new patients
Don Hollingsworth Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1359 Pine St
#1112
San Francisco, CA 94109
Phone (415) 673-8405

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

179 Fairview Ln
Sonora, CA 95370
Phone (209) 536-3850

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Interoperability endpoints

  • Direct secure messaging: robert.reina@direct.macthealth.nextgenshare.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1295739845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952220939",
            "telephone_number": "209-754-6262",
            "fax_number": "866-205-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 MONO WAY STE G",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702824",
            "telephone_number": "209-533-9600",
            "fax_number": "209-533-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINA",
        "first_name": "ROBERT",
        "middle_name": "I.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54907",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A549070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.