Individual provider Active NPI

Christian Reyna, DO

  • Internal Medicine Physician
  • Sacramento, CA
National Provider Identifier
1669727046
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A17415 Issued in CA
Practice address
1820 J St
Sacramento, CA 95811-3010
Phone
(916) 737-5555
Fax
(916) 313-8452
NPI assigned
Jul 20, 2012
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10044206 TX
Internal Medicine Physician 207R00000X 20A17415 CA Primary

Addresses

Primary practice location

1820 J St
Sacramento, CA 95811-3010

Mailing address

3939 J St
Ste 370
Sacramento, CA 95819-3671
Phone (916) 453-2800

Other practice location 1

3939 J St Ste 370
Sacramento, CA 95819-3671
Phone (916) 453-2800

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
I20190813002565 CA Practitioner - Internal Medicine 8628305653 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Fort Worth School of Medicine, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Meena Medical Group IncGroup PAC ID 1658679873, 2 clinicians
Marin Community ClinicGroup PAC ID 0840108031, 28 clinicians

Practice addresses (Care Compare)

1600 Creekside Dr
Suite 2100
Folsom, CA 95630-3447
Phone (916) 983-2663

2240 Northrop Ave
Sacramento, CA 95825-7408
Phone (916) 927-9300

6090 Redwood Blvd
Suite G
Novato, CA 94945-4569
Phone (415) 448-1500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17415CAMDInternal Medicine Physician
BP10044206TXMDInternal Medicine Physician
17415CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Roy a Greenberg MD a PC CurrentSince Apr 17, 2025 Accepting new patients
Wellspace Health CurrentSince Oct 5, 2020 Accepting new patients
Wellspace Health Current Accepting new patients
Reyna Professional Medical Corporation Internal Medicine CurrentSince Jan 15, 2024 Accepting new patients
Wellspace Health CurrentSince Oct 5, 2020 Accepting new patients
Meena Medical Group, Inc CurrentSince Apr 17, 2025 Accepting new patients

Locations

1600 Creekside Dr
Ste 2100
Folsom, CA 95630
Phone (916) 542-7467

1820 J St
Sacramento, CA 95811
Phone (916) 550-5481

2240 Northrop Ave
Sacramento, CA 95825
Phone (858) 247-0691

3939 J St
Ste 370
Sacramento, CA 95819
Phone (916) 446-8061

777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690

Interoperability endpoints

  • Direct secure messaging: creyna90486@hpmg.direct-ci.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Woodside Healthcare CenterSacramento, CA, CCN 555798 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 1, 2024
Mar 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1669727046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 J ST",
            "address_2": "STE 370",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193671",
            "telephone_number": "916-453-2800",
            "fax_number": "916-453-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 J ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958113010",
            "telephone_number": "916-737-5555",
            "fax_number": "916-313-8452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 J St Ste 370",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193671",
            "country_code": "US",
            "telephone_number": "916-453-2800",
            "fax_number": "916-453-2804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNA",
        "first_name": "CHRISTIAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-20",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10044206",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A17415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.