Jana Kokkonen Reed, MD
Individual provider Active NPI Emergency Medicine Physician · Cambria, CA
NPI 1487602108 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1487602108
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- A74178 (CA)
- Practice address
- 2150 Main St Ste 3
Cambria, CA 93428-3022 - Phone
- (805) 440-3283
- NPI assigned
- May 5, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120220001075 | CA | Practitioner - Emergency Medicine | 4082872239 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74178 | CA | MD | Marriage & Family Therapist |
| A74178 | CA | MD | Emergency Medicine Physician |
| D0062333 | MD | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Richard David Griffith MD, Inc. | Current |
Accepting new patients | |
| Cep America - California | Emergency Medicine | Current |
Accepting new patients |
| Cep America-California | Emergency Medicine | Current |
Accepting new patients |
Locations
345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261
345 S Halcyon Rd
Ofc
Arroyo Grande, CA 93420
Phone (805) 473-7601
2150 Main St
Ste 3
Cambria, CA 93428
Phone (805) 440-3283
751 Medical Center Ct
#1182
Chula Vista, CA 91911
2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633
Interoperability endpoints
- https://api.platform.athenahealth.com/25380/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A74178 | CA | Yes |
| Emergency Medicine Physician | 207P00000X | D0062333 | MD |
Addresses
Primary practice location
2150 Main St Ste 3
Cambria, CA 93428-3022
Mailing address
345 Halcyon Road
Arroyo Grande Community Hospital Medical Staff Office
Arroyo Grande, CA 93420-3899
Phone (805) 473-7601
Other practice location 1
345 Halcyon Road
Arroyo Grande Community Hospital Medical Staff Office
Arroyo Grande, CA 93420-3899
Phone (805) 473-7601
Other providers in Cambria, CA
- Mary Elizabeth Phillips
- Spencer Gordon Plante
- Jill Elizabeth Poulos
- Ratchford Dental Practice of Cambria, Inc
- Olivia Gail Redwine
- Richard David Griffith MD, Inc.
- Melissa Renee Sanden
- Gary Stewart Spunt
- Steve Brody PHD Inc Clinical Psychologist
- Beth Vidakovits
All providers in Cambria, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.