Active NPI
Cheryl Lynne Reid, M.D.
- Internal Medicine Physician
- Pasadena, CA
National Provider Identifier
1730571555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G39921
- Practice address
- 482 S Madison Ave
Unit 3
Pasadena, CA 91101-3300 - Phone
- (626) 577-5602
- NPI assigned
- Mar 3, 2015
- Last updated
- Mar 3, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G39921 | CA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | G39921 | CA |
Addresses
Primary practice location
482 S Madison Ave
Unit 3
Pasadena, CA 91101-3300
Mailing address
482 S Madison Ave
Unit 3
Pasadena, CA 91101-3300
Phone (626) 577-5602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G39921 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1730571555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "482 S MADISON AVE",
"address_2": "UNIT 3",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013300",
"telephone_number": "626-577-5602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "482 S MADISON AVE",
"address_2": "UNIT 3",
"city": "PASADENA",
"state": "CA",
"postal_code": "911013300",
"telephone_number": "626-577-5602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REID",
"first_name": "CHERYL",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-03",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G39921",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G39921",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.