Active NPI
Paul Reynolds, MD
- Pain Medicine (Anesthesiology) Physician
- San Jose, CA
National Provider Identifier
1427184233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- G64135
- Practice address
- 4820 Harwood Rd
Suite 100
San Jose, CA 95124-5200 - Phone
- (408) 264-7700
- Fax
- (408) 264-7701
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G64135 | CA | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G64135 | CA | Primary |
Addresses
Primary practice location
4820 Harwood Rd
Suite 100
San Jose, CA 95124-5200
Mailing address
4820 Harwood Road
Suite 100
San Jose, CA 95124-5276
Phone (408) 264-7700
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 |
|---|---|---|---|
| G64135 | CA | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Health Care | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1427184233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4820 HARWOOD ROAD",
"address_2": "SUITE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951245276",
"telephone_number": "408-264-7700",
"fax_number": "408-264-7701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4820 HARWOOD RD",
"address_2": "SUITE 100",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951245200",
"telephone_number": "408-264-7700",
"fax_number": "408-264-7701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "PAUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G64135",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "CA",
"license": "G64135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.