Mark Michael Reynolds, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G78047 Issued in CA

Practice address

26522 Poinsettia CT
Laguna Hills, CA 92653-7556

Phone

(949) 233-2454

NPI assigned

Jul 11, 2006

Last updated

Mar 31, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Merit-based Incentive Payment System (MIPS)

Final score

38.53 of 100Reported as group

Quality

20.07

Promoting interoperability

0

Improvement activities

0

Cost

75.03

Merit-based Incentive Payment System (MIPS)

Final score

96.69 of 100Reported as group

Quality

90

Improvement activities

40

Cost

78.43

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19404/brand/1/csg/1/fhir/r4

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.

• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1023063542
  Medicare reassignment NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment NPD
• Nili N. Alai, MD, Inc.

  • Specialist
  • Laguna Hills, CA
  • NPI 1952590135
  Medicare reassignment NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Montebello, CA
  • NPI 1396971651
  NPD
• Cep America - California

  dba Vituity

  • Emergency Medicine Physician
  • Santa Cruz, CA
  • NPI 1811274483
  NPD
• California Vascular & Interventional PC.

  dba California Vascular & Interventional

  • Vascular & Interventional Radiology Physician
  • Beverly Hills, CA
  • NPI 1053975847
  NPD (past)
• Emergency Physicians Medical Associates of Long Beach

  • Emergency Medicine Physician
  • Long Beach, CA
  • NPI 1386675015
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269993600000",
    "number": "1831124577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26522 POINSETTIA CT",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537556",
            "telephone_number": "949-233-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26522 POINSETTIA CT",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537556",
            "telephone_number": "949-233-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MARK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G78047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G780470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fabiana Ressel del Rio
• Karen L Reuss, M.D.
• Andrew Reville
• Edward John Reynolds, DC
• Jonathan Glenn Reynolds, MFT
• Reza Govashiri,M.D.Inc
• Masih Rezaei, DDS
• RHWC Surgery Center, LLC
• Dennis Alfred Rhyne, MD
• Michelle Rhyner

• Emergency Medicine Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.