Individual provider Active NPI

Kristen Reincke Motley, PA

  • Physician Assistant
  • Moorpark, CA
National Provider Identifier
1740695634
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA200001887 Issued in DC
Practice address
4279 Tierra Rejada Rd
Moorpark, CA 93021-3775
Phone
(805) 222-2323
NPI assigned
Jun 30, 2014
Last updated
Aug 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 51683 CA
Physician Assistant 363A00000X PA200001887 DC Primary

Addresses

Primary practice location

4279 Tierra Rejada Rd
Moorpark, CA 93021-3775

Mailing address

2401 E St NW Sa-1, Suite L301
Washington, DC 20522-0001
Phone (202) 663-1542

Other practice location 1

2 Embarcadero Ctr Lbby Level
San Francisco, CA 94111-3823
Phone (888) 663-6331

Other practice location 2

1400 S Grand Ave Ste 801
Los Angeles, CA 90015
Phone (213) 741-9727

Other practice location 3

1424 Madera Rd
Simi Valley, CA 93065-3053
Phone (805) 522-5722

Other names 1

  • Kristen Elizabeth Reincke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141112002593 CA Practitioner - Physician Assistant 5799907465 Reassigns benefits to 2 organizations
I20230217001019 TX Practitioner - Physician Assistant 5799907465 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
51683CAMDDentist
PA200001887DCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Jun 19, 2023 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Oct 15, 2023 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Oct 15, 2023 Accepting new patients
Clinica Sierra Vista CurrentSince Jun 19, 2023 Accepting new patients
Convenientmd LLC Past Accepting new patients
Pathway Medical Group, Inc. Past Accepting new patients

Locations

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

4279 Tierra Rejada Rd
Moorpark, CA 93021
Phone (805) 222-2323

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

1424 Madera Rd
Simi Valley, CA 93065
Phone (805) 522-5722

Interoperability endpoints

  • Direct secure messaging: kristen.motley.1@10039.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1740695634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E ST NW SA-1, SUITE L301",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205220001",
            "telephone_number": "202-663-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4279 TIERRA REJADA RD",
            "city": "MOORPARK",
            "state": "CA",
            "postal_code": "930213775",
            "telephone_number": "805-222-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Embarcadero Ctr Lbby Level",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941113823",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 S Grand Ave Ste 801",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90015",
            "country_code": "US",
            "telephone_number": "213-741-9727",
            "fax_number": "213-741-0867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1424 Madera Rd",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930653053",
            "country_code": "US",
            "telephone_number": "805-522-5722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTLEY",
        "first_name": "KRISTEN",
        "middle_name": "REINCKE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51683",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA200001887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "REINCKE",
            "middle_name": "ELIZABETH",
            "credential": "MMS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moorpark, CA

Sources for this page

Verify at the official NPI Registry.