Individual provider Active NPI

Michele Diane Reynolds, M.D.

  • Family Medicine Physician
  • Sonoma, CA
National Provider Identifier
1740486190
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A105224 Issued in CA
Practice address
19270 Highway 12
Sonoma, CA 95476-5414
Phone
(707) 939-6070
Fax
(707) 939-6077
NPI assigned
Jun 22, 2007
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A105224 CA Primary

Addresses

Primary practice location

19270 Highway 12
Sonoma, CA 95476-5414

Mailing address

19270 Highway 12
Sonoma, CA 95476-5414
Phone (707) 939-6070

Other practice location 1

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500

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
I20101115000998 CA Practitioner - Family Practice 3971798059 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nevada School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Sonoma Valley Community Health CenterGroup PAC ID 6800708686, 16 clinicians

Practice addresses (Care Compare)

19270 Hwy 12
Sonoma, CA 95476-5414
Phone (707) 939-6070

19270 Sonoma Hwy 12
Sonoma, CA 95476-5414

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A105224CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Petaluma Health Center, Inc CurrentSince May 26, 2015 Accepting new patients
Petaluma Health Center Inc CurrentSince May 26, 2015 Accepting new patients
Sonoma Valley Community Health Center CurrentSince Sep 1, 2010 Accepting new patients
Sonoma Valley Community Health Center Past Accepting new patients
Sonoma Valley Health Care District Past Accepting new patients

Locations

1179 N McDowell Blvd
Petaluma, CA 94954

19270 Highway 12
Sonoma, CA 95476
Phone (707) 939-6070

Interoperability endpoints

  • Direct secure messaging: mreynolds627349@direct.ochin.org

Organizations & group practices 5

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 1

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1740486190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19270 HIGHWAY 12",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954765414",
            "telephone_number": "707-939-6070",
            "fax_number": "707-939-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19270 HIGHWAY 12",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954765414",
            "telephone_number": "707-939-6070",
            "fax_number": "707-939-6077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1179 N McDowell Blvd",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949546559",
            "country_code": "US",
            "telephone_number": "707-559-7500",
            "fax_number": "707-559-7620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MICHELE",
        "middle_name": "DIANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A105224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.