James Warren Reznick, DO

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

20A6509 Issued in CA

Practice address

611 Lido Park Dr Apt 6a
Newport Beach, CA 92663-4407

Phone

(949) 689-2231

NPI assigned

Jun 16, 2005

Last updated

Nov 4, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AZ2 enrollments

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 2

Specialty

Cardiovascular Disease (Cardiology)

Education

New York College of Osteo Medicine of New York Institute of Technology, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Active Vital Care LLCGroup PAC ID 3870942428, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25335/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jreznickdo15059@direct.memorialcare.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Vital Care LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1326825092
  Medicare reassignment Care Compare group NPD
• Pacific Cardiovascular Associates Medical Group, Inc.

  • Cardiovascular Disease Physician
  • Irvine, CA
  • NPI 1700821691
  Medicare reassignment NPD
• Agave Adult Medical Care LLC

  • Adult Medicine Physician
  • Sedona, AZ
  • NPI 1861153579

  Family Medicine

  Medicare reassignment NPD
• Angels Valley Community Healthcare Center PLLC

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1689303117
  Medicare reassignment NPD
• Careathome Medical Practice Ca PC

  • Family Nurse Practitioner
  • Newport Beach, CA
  • NPI 1306516174

  Internal Medicine

  NPD
• Pacific Nephrology Associates Medical Group, PC

  • Nephrology Physician
  • Anaheim, CA
  • NPI 1295258341
  NPD (past)

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1659376689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 W CACTUS RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815311",
            "telephone_number": "833-242-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 LIDO PARK DR APT 6A",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634407",
            "telephone_number": "949-689-2231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6739 W Cactus Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853815311",
            "country_code": "US",
            "telephone_number": "833-242-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZNICK",
        "first_name": "JAMES",
        "middle_name": "WARREN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "007666",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "20A6509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macy Huynh Reyes, PSB-94029530
• Teresa Adriana Reyes
• Karla J Reynel Naquira
• Reza Bashtar MD, Inc
• Sarah Rezaee, PMHNP-BC
• Alena Reznik, M.D.
• Jacob Reznik, M.D.
• Rodd Rezvani, MD
• Jayne Elisa Rhee, MD
• Richard B Rhee, M.D.

• Cardiovascular Disease Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.

Verify at the official NPI Registry.