Individual provider Active NPI

Lorelei Joyce Repique Bietz, M.D.

  • Cardiovascular Disease Physician
  • Saint Helena, CA
National Provider Identifier
1750357158
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G067129 Issued in CA
Practice address
999 Adams St
Suite 106
Saint Helena, CA 94574-1148
Phone
(707) 963-4997
Fax
(707) 963-4990
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G067129 CA Primary

Addresses

Primary practice location

999 Adams St
Suite 106
Saint Helena, CA 94574-1148

Mailing address

999 Adams St
Suite 106
Saint Helena, CA 94574-1148
Phone (707) 963-4997

Other practice location 1

2773 Harris St Ste A
Eureka, CA 95503-4866
Phone (707) 442-1182

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address lrepique1754099@oc.providencedirect.org
Direct Messaging Address lrepique1754099@oc.providencedirect.org
Direct Messaging Address lrepique1754099@oc.providencedirect.org
Direct Messaging Address lrepique1754099@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090112000012 HI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9739105362 Reassigns benefits to 1 organization
I20210524002389 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9739105362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Loma Linda University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aretaeus Telemedicine IncGroup PAC ID 6002953635, 17 clinicians
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1 Madrone St
Willits, CA 95490-4225
Phone (707) 459-6801

2773 Harris St
Suite a
Eureka, CA 95503-4866
Phone (707) 267-2070

325 Pine Breeze Dr
Angwin, CA 94508-9620
Phone (808) 781-3515

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Merced, CA, CCN 050444
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G067129CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Dec 30, 2008 Accepting new patients
Straub Clinic & Hospital CurrentSince Dec 30, 2008 Accepting new patients
Providence Medical Foundation CurrentSince May 17, 2021 Accepting new patients
Providence Medical Foundation CurrentSince May 17, 2021 Accepting new patients
Aretaeus Telemedicine Inc. CurrentSince Oct 1, 2024 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Straub Clinic & Hospital Past Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

1200 Marshall St
Crescent City, CA 95531
Phone (707) 465-1126

2332 23rd St
Eureka, CA 95501
Phone (707) 444-2819

2773 Harris St
Ste A
Eureka, CA 95503
Phone (707) 442-1182

3304 Renner Dr
Fortuna, CA 95540
Phone (707) 725-4477

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

500 Doyle Park Dr
Ste G05
Santa Rosa, CA 95405
Phone (707) 576-7100

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Interoperability endpoints

  • Direct secure messaging: lrepique1754099@oc.providencedirect.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1750357158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 ADAMS ST",
            "address_2": "SUITE 106",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741148",
            "telephone_number": "707-963-4997",
            "fax_number": "707-963-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ADAMS ST",
            "address_2": "SUITE 106",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741148",
            "telephone_number": "707-963-4997",
            "fax_number": "707-963-4990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2773 Harris St Ste A",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955034866",
            "country_code": "US",
            "telephone_number": "707-442-1182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REPIQUE BIETZ",
        "first_name": "LORELEI",
        "middle_name": "JOYCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G067129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrepique1754099@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2773 Harris St Ste A",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955034866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrepique1754099@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1200 Marshall St",
            "city": "Crescent City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955312217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrepique1754099@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2332 23rd St",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955013231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lrepique1754099@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3304 Renner Dr",
            "city": "Fortuna",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955407102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.