Active NPI
Christian Reyna, DO
- Internal Medicine Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20A17415
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Applied Palliative and Hospice Services, Inc
- Sutter Medical Center, Sacramento
- Woodside Healthcare Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17415 | CA | MD | Internal Medicine Physician |
| BP10044206 | TX | MD | Internal Medicine Physician |
| 17415 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roy a Greenberg MD a PC | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Reyna Professional Medical Corporation | Internal Medicine | Current | Accepting new patients |
| Wellspace Health | Current | Accepting new patients | |
| Meena Medical Group, Inc | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Woodside Healthcare Center | 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.
-
- Skilled Nursing Facility
- Sacramento, CA
- NPI 1376005181
Adp of the SNF, Operational/Managerial Control
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.
-
- Primary Care Clinic/Center
- Folsom, CA
- NPI 1710348321
-
- Internal Medicine Physician
- Sacramento, CA
- NPI 1154188910
-
- Federally Qualified Health Center (FQHC)
- Novato, CA
- NPI 1003900101
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124112933
-
- Family Medicine Physician
- Folsom, CA
- NPI 1093994998
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Federally Qualified Health Center (FQHC)
- Citrus Heights, CA
- NPI 1215350848
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Rancho Cordova, CA
- NPI 1679954408
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
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
- Reymond Bautista Dental Corporation (Land Park Modern Dentistry Dental Group)
- Reyna Professional Medical Corporation
- Rene Wilfredo Reyna-Tobar, NP
- Anjelita Reyna
- Arlene Elizabeth Reyna, M.D., M.S.
- Maria Elena Reyna, CADCII
- Patricia Reyna
- Raisa Reyna
- Antonia Modesta Reynaga-Rankin, PA-C
- Reynold Medical Solutions LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.