Individual provider Active NPI

Michael Benjamin Reines, M.D.

  • Anesthesiology Physician
  • Newport Beach, CA
National Provider Identifier
1508805748
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G87744 Issued in CA
Practice address
180 Newport Center Dr
Suite 150
Newport Beach, CA 92660-6972
Phone
(949) 887-1580
Fax
(949) 612-1845
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G87744 CA Primary

Addresses

Primary practice location

180 Newport Center Dr
Suite 150
Newport Beach, CA 92660-6972

Mailing address

PO Box 60790
Pasadena, CA 91116-6790
Phone (626) 795-6596

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061219000615 CA Practitioner - Anesthesiology 7214943646 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G87744CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Daydream Anesthesiology, Inc Anesthesiology CurrentSince Jul 1, 2006 Accepting new patients

Locations

1211 W La Palma Ave
Ste 301
Anaheim, CA 92801
Phone (714) 284-0737

180 Newport Center Dr
Ste 157
Newport Beach, CA 92660
Phone (949) 200-1600

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1508805748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60790",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911166790",
            "telephone_number": "626-795-6596",
            "fax_number": "626-795-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NEWPORT CENTER DR",
            "address_2": "SUITE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926606972",
            "telephone_number": "949-887-1580",
            "fax_number": "949-612-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINES",
        "first_name": "MICHAEL",
        "middle_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G87744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.