Michael Patrick Reising, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9103129 Issued in FL

Practice address

3424 Trio LN
Sacramento, CA 95817-2071

Phone

(916) 747-4825

NPI assigned

Apr 6, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• California Cardiothoracic Associates Medical GRP

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lynwood, CA
  • NPI 1396858122
  NPD (past)
• Emanuel Medical Group, Inc.

  • Family Medicine Physician
  • Turlock, CA
  • NPI 1275764615
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424563200000",
    "number": "1699737361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3424 TRIO LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172071",
            "telephone_number": "916-747-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 TRIO LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172071",
            "telephone_number": "916-747-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISING",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9103129",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA-16318",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "292180400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00242516",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Reinosa
• Reintegrate Hub LLC
• Shelia Estelle Reintjes, BSN, MHRS
• Rene Reis, MFT
• Kyle Andrew Reiser
• Kathleen A Reisinger, PT
• Christine Ann Reisner
• Deborah Ann Reitter, RN, MSN, CNS
• Allison A Reitz, RD
• Alexandria Reitzel

• Surgical Physician Assistant in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.