Active NPI
Naomi Reynolds, MD
- General Practice Physician
- Riverbank, CA
National Provider Identifier
1659561710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A100605
- Practice address
- 3227 Stanislaus St
Suite a
Riverbank, CA 95367-2464 - Phone
- (209) 869-0131
- NPI assigned
- Jul 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A100605 | CA | Primary |
Addresses
Primary practice location
3227 Stanislaus St
Suite a
Riverbank, CA 95367-2464
Mailing address
3227 Stanislaus St
Suite a
Riverbank, CA 95367-2464
Phone (209) 869-0131
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Wayne State University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22044 Cedar Rd
Sonora, CA 95370
Phone (209) 532-0034
Hospital & facility affiliations
- Adventist Health Home Care Services
- Adventist Health Sonora
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A100605 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuolumne Me-Wuk Indian Health Center, Inc. | Current | Accepting new patients | |
| Signify Health Medical Associates of California, PC | General Practice | Current | Accepting new patients |
| Tuolumne Mewuk Indian Health Center, Inc | Current | Accepting new patients |
Locations
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095
18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- naomi.reynolds.p1@direct.tmwihc.nextgenshare.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Tuolumne, CA
- NPI 1619952397
-
- General Practice Physician
- San Francisco, CA
- NPI 1124685169
-
- Family Medicine Physician
- Sonora, CA
- NPI 1124286885
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658275200000",
"number": "1659561710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3227 STANISLAUS ST",
"address_2": "SUITE A",
"city": "RIVERBANK",
"state": "CA",
"postal_code": "953672464",
"telephone_number": "209-869-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3227 STANISLAUS ST",
"address_2": "SUITE A",
"city": "RIVERBANK",
"state": "CA",
"postal_code": "953672464",
"telephone_number": "209-869-0131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "NAOMI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-25",
"last_updated": "2022-07-20",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A100605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.