Individual provider Active NPI

Danielle Rianne Reynolds, PA

  • Physician Assistant
  • Beverly Hills, CA
National Provider Identifier
1649880832
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA58706 Issued in CA
Practice address
415 N Crescent Dr Ste 320
Beverly Hills, CA 90210-6813
Phone
(888) 803-3370
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA58706 CA Primary

Addresses

Primary practice location

415 N Crescent Dr Ste 320
Beverly Hills, CA 90210-6813

Mailing address

511 Augusta Dr
Meridian, MS 39305-8205
Phone (916) 872-5299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240627001900 CA Practitioner - Physician Assistant 6800206756 Reassigns benefits to 1 organization
I20250517000035 MS Practitioner - Physician Assistant 6800206756 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of California, Davis School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush Medical FoundationGroup PAC ID 2567368541, 31 clinicians

Practice addresses (Care Compare)

905 C S Frontage Rd
Meridian, MS 39301-6113
Phone (601) 482-4955

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58706CAMDPharmacist
PA58706CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Rush Medical Foundation CurrentSince Apr 28, 2025 Accepting new patients
Kemper Cah, Inc CurrentSince Apr 28, 2025 Accepting new patients
Feather River Tribal Health Inc CurrentSince Jun 3, 2024 Accepting new patients
Medical Foundation, Inc. Physician Assistant CurrentSince Apr 28, 2025 Accepting new patients
Rush Medical Foundation CurrentSince Apr 28, 2025 Accepting new patients
Kemper Cah, Inc CurrentSince Apr 28, 2025 Accepting new patients

Locations

2145 5th Ave
Oroville, CA 95965
Phone (530) 534-3793

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

Interoperability endpoints

  • Direct secure messaging: danielle.reynolds.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1649880832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 AUGUSTA DR",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393058205",
            "telephone_number": "916-872-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CRESCENT DR STE 320",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902106813",
            "telephone_number": "888-803-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "DANIELLE",
        "middle_name": "RIANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.