Organization Active NPI

Reecess Medical Group, Inc.

  • Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1861383986
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
REECESS MEDICAL GROUP, INC.
Practice address
4301 Birch St Ste 131
Newport Beach, CA 92660-1941
Phone
(714) 460-3121
NPI assigned
Jul 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Authorized official

Name
Marisa Jayakar, MDNPI 1083142582
Title
Owner
Phone
(714) 460-3121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4301 Birch St Ste 131
Newport Beach, CA 92660-1941

Mailing address

4301 Birch St Ste 131
Newport Beach, CA 92660-1941

National Provider Directory

National Provider Directory

Locations

4301 Birch St
Ste 131
Newport Beach, CA 92660
Phone (714) 460-3121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752537600000",
    "number": "1861383986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 BIRCH ST STE 131",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 BIRCH ST STE 131",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601941",
            "telephone_number": "714-460-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REECESS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-15",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "JAYAKAR",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-460-3121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.