Active NPI
Michael A Reinhart, MD
- Pediatrics Physician
- Davis, CA
National Provider Identifier
1356441190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G30413
- Practice address
- 2020 Sutter PL
#201
Davis, CA 95616-6201 - Phone
- (530) 750-5959
- Fax
- (530) 750-5960
- NPI assigned
- Sep 22, 2006
- Last updated
- Oct 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G30413 | CA | Primary |
Addresses
Primary practice location
2020 Sutter PL
#201
Davis, CA 95616-6201
Mailing address
10470 Old Placerville Rd Ste 100
Sacramento, CA 95827-2539
Phone (800) 470-0071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G304130 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30413 | CA | MD | Chiropractor |
| G30413 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381276800000",
"number": "1356441190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 SUTTER PL",
"address_2": "#201",
"city": "DAVIS",
"state": "CA",
"postal_code": "956166201",
"telephone_number": "530-750-5959",
"fax_number": "530-750-5960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINHART",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2013-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G30413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G304130",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
- Regents of the University of California (UC Davis Clinic Pharmacy in Davis)
- Regents of the University of California (UCD Coccidioidomycosis Serology Laboratory)
- Regents of the University of California
- Alberta Reid
- Andrew M Reid, DPT
- John Arthur Reitan, M.D.
- Barbara A Renwick, MD
- Sharon Reuter
- Melissa Revelez
- Antonia M Rey, MS, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.