Organization Active NPI

Reliant Medical Associates, PC

  • Hospitalist Physician
  • Vallejo, CA
National Provider Identifier
1710429857
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A95421 Issued in CA
Legal business name
RELIANT MEDICAL ASSOCIATES, PC
Practice address
300 Hospital Dr
Vallejo, CA 94589-2574
Phone
(916) 330-4259
NPI assigned
Nov 7, 2016
Last updated
Nov 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Jody Linn Daudel, MD
Title
President
Phone
(916) 330-4259

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A95421 CA
Hospitalist Physician 208M00000X A95421 CA Primary

Addresses

Primary practice location

300 Hospital Dr
Vallejo, CA 94589-2574

Mailing address

4944 Windplay Dr
Ste 200
El Dorado Hills, CA 95762-9688
Phone (916) 330-4259

National Provider Directory

National Provider Directory

Locations

4944 Windplay Dr
Ste 200
El Dorado Hills, CA 95762

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1710429857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 WINDPLAY DR",
            "address_2": "STE 200",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629688",
            "telephone_number": "916-330-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HOSPITAL DR",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892574",
            "telephone_number": "916-330-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANT MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "DAUDEL",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "LINN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-330-4259",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A95421",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A95421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.