NPIMap

Jabari Reeves, MD

Individual provider Active NPI Emergency Medicine Physician · Daly City, CA

NPI 1295841401 · NPPES record last updated Feb 11, 2022

Key facts

NPI
1295841401
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
A79224 (CA)
Practice address
1900 Sullivan Ave
Daly City, CA 94015-2200
Phone
(650) 992-4000
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 23

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 5

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

Medicare Care Compare profile

Specialty
Emergency Medicine
Education
University of California, Geffen School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Carlos Apache Healthcare Corporation (147 clinicians)
Sound Physicians Emergency Medicine of Southern California PC (18 clinicians)
Permanente Medical Group Inc (10,928 clinicians)

Practice addresses (Care Compare)

103 Medicine Way Rd
Peridot, AZ 85542-0787
Phone (928) 475-1400

350 S Oak Ave
Oakdale, CA 95361-3519
Phone (209) 847-3012

4601 Dale Rd
Modesto, CA 95356-9718
Phone (209) 735-5000

7373 W Lane
Stockton, CA 95210-3377
Phone (209) 476-2000

P O Box
Suite 787
Peridot, AZ 85542-0787

PO Box
Suite 787
Peridot, AZ 85542-0787

Hospital & facility affiliations

  • Kaiser Foundation Hospital Manteca Hospital · Manteca, CA · CCN 050748
  • San Carlos Apache Healthcare Corporation Hospital · Peridot, AZ · CCN 031320
  • Kaiser Foundation Hospital - San Francisco Hospital · San Francisco, CA · CCN 050076
  • Oak Valley Hospital District Hospital · Oakdale, CA · CCN 050067

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CA, TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040310001512 CA Practitioner - Emergency Medicine 9931098878 Reassigns benefits to 9 organizations
I20190813000610 TX Practitioner - Emergency Medicine 9931098878 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montclair Emergency Medical Associates Emergency Medicine Current
since Jan 1, 2020		 Accepting new patients
San Carlos Apache Healthcare Corporation Current
since Jul 15, 2019		 Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc Emergency Medicine Current
since Jan 28, 2018		 Accepting new patients
County of Santa Clara Current
since Mar 28, 2017		 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine Current
since Apr 15, 2014		 Accepting new patients
Permanente Medical Group Inc Emergency Medicine Current
since Nov 1, 2010		 Accepting new patients
Permanente Medical Group Inc Emergency Medicine Current Accepting new patients
San Carlos Apache Healthcare Corporation Current
since Jul 15, 2019		 Accepting new patients
Permanente Medical Group, Inc Current
since Nov 1, 2010		 Accepting new patients
Mount Eddy Emergency Physicians Medical Group, Inc. Emergency Medicine Current
since Jan 1, 2016		 Accepting new patients
County of Santa Clara Emergency Medicine Current
since Mar 28, 2017		 Accepting new patients
County of Santa Clara Current Accepting new patients
Big River Emergency Physicians Inc Emergency Medicine Current
since Sep 1, 2015		 Accepting new patients
San Joaquin Emergency Medical Associates Emergency Medicine Current
since Nov 1, 2016		 Accepting new patients
Permanente Medical Group Inc Emergency Medicine Past Accepting new patients
Nor Cal Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Berkeley Emergency Medical Group, Inc. Emergency Medicine Past
since Jan 22, 2023		 Accepting new patients
Colusa Emergency Physicians Medical Group, Inc. Emergency Medicine Past Accepting new patients
Berkeley Emergency Medical Group, Inc. Emergency Medicine Past
since Jan 22, 2023		 Accepting new patients

Locations

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

1001 Galaxy Way
Ste 400
Concord, CA 94520
Phone (925) 225-5837

2700 Dolbeer St
Eureka, CA 95501
Phone (707) 269-4229

3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

File 55570
Los Angeles, CA 90074

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

280 W MacArthur Blvd
Oakland, CA 94611
Phone (510) 596-1000

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2425 Geary Blvd
San Francisco, CA 94115
Phone (415) 833-2200

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X A79224 CA
Emergency Medicine Physician 207P00000X A79224 CA Yes

Addresses

Primary practice location

1900 Sullivan Ave
Daly City, CA 94015-2200

Mailing address

1001 Galaxy Way Ste 400
Concord, CA 94520-5725
Phone (925) 225-5837

Other identifiers

IdentifierTypeStateIssuer
00A443170MedicaidCA

Electronic endpoints

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 11, 2022.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1295841401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 GALAXY WAY STE 400",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205725",
            "telephone_number": "925-225-5837",
            "fax_number": "925-225-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SULLIVAN AVE",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152200",
            "telephone_number": "650-992-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "JABARI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "A79224",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A79224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A443170",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2425 Geary Blvd",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "94115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Daly City, CA

All providers in Daly City, CA · Emergency Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.