Jane Reldan, M. D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G30296 Issued in CA

Practice address

467 Coast Boulevard
La Jolla, CA 92037

Phone

(858) 459-6600

Fax

(858) 459-6605

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Dec 26, 2018 through Dec 26, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Greg Mattson MD Inc

  • Family Medicine Physician
  • La Jolla, CA
  • NPI 1669746897
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1356439939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2368",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920382368",
            "telephone_number": "858-459-6600",
            "fax_number": "858-459-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 COAST BOULEVARD",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-459-6600",
            "fax_number": "858-459-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELDAN",
        "first_name": "JANE",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G30296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Reid, MD
• Tony R Reid, M.D
• Warren L. Reidel, M.D.
• Ian Reilly, M.D.
• Jeanne Reilly, M.S., R.D.
• Remote Diagnostic Interpreters PC
• Ilana Robbins Renfroe, RN, NP
• Jennifer Dawn Rens, DDS
• Reproductive Partners Medical Group la Jolla, Inc
• Residence Care Inc.

• Family Medicine Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.