John S. Reynard, Jr., M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G12598 Issued in CA

Legal business name

JOHN S. REYNARD, JR., M.D., INC.

Practice address

31862 Coast Hwy
Ste 203
Laguna Beach, CA 92651-6769

Phone

(949) 499-4538

Fax

(951) 674-0918

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

John S. Reynard Jr., M.D.

Title

Pres

Phone

(949) 499-4538

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1649475146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31862 COAST HWY",
            "address_2": "STE 203",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516769",
            "telephone_number": "949-499-4538",
            "fax_number": "951-674-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31862 COAST HWY",
            "address_2": "STE 203",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516769",
            "telephone_number": "949-499-4538",
            "fax_number": "951-674-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. REYNARD, JR., M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "REYNARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "949-499-4538",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G12598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Isterabadi, M.D
• Erin Hosie Jackson, MSPT, CPI
• Jeffrey Crudo MD Corp
• Shao Hui Jin, LAC
• Joao D Fontes Inc
• Cherlin Johnson, M.D.
• Mickey Lynn Johnson, MSW
• Jonathan Duong O.D., Inc.
• Jonathan E Shaywitz MD Inc
• Donna L Jones

• Specialist in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.