Active NPI
David Jefferson Reeder, M.D.
- Internal Medicine Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A154806
- Practice address
- 101 The City Drive
Pavillion 1, 2ND Floor
Orange, CA 92868 - Phone
- (714) 456-7720
- NPI assigned
- Jul 16, 2015
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A154806 | CA | Primary |
Addresses
Primary practice location
101 The City Drive
Pavillion 1, 2ND Floor
Orange, CA 92868
Mailing address
333 City Blvd W Ste 400
Orange, CA 92868-2994
Phone (714) 456-3870
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- University of Arizona College of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4915 E Baseline Rd
Suite 112
Gilbert, AZ 85234-2966
Phone (480) 626-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154806 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Tan Allergy and Asthma PC | Allergy & Immunology | Current | Accepting new patients |
| Valley Allergy PLLC | Allergy & Immunology | Past | Accepting new patients |
| Northern Arizona Pain Services LLC | Past | Accepting new patients |
Locations
4915 E Baseline Rd
Ste 112
Gilbert, AZ 85234
Phone (480) 626-6600
708 E State Highway 260
Bldg B
Payson, AZ 85541
708 S Coeur D Alene Ln
Ste C
Payson, AZ 85541
Phone (602) 828-3777
Organizations & group practices 3
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.
-
- Allergy & Immunology Physician
- Gilbert, AZ
- NPI 1124240510
-
- Family Nurse Practitioner
- Payson, AZ
- NPI 1902152556
-
- Allergy & Immunology Physician
- Phoenix, AZ
- NPI 1982460341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1477937779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 CITY BLVD W STE 400",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682994",
"telephone_number": "714-456-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DRIVE",
"address_2": "PAVILLION 1, 2ND FLOOR",
"city": "ORANGE",
"state": "CA",
"postal_code": "92868",
"telephone_number": "714-456-7720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REEDER",
"first_name": "DAVID",
"middle_name": "JEFFERSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-16",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A154806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.