Individual provider Active NPI

Carolyn Patricia Reid, DOCTOR OF HEALTH SC

  • Physician Assistant
  • Fairfield, CA
National Provider Identifier
1871351791
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
64795 Issued in CA
Practice address
4820 Business Center Dr Ste 110
Fairfield, CA 94534-1907
Phone
(707) 703-5075
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 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
Physician Assistant 363A00000X 64795 CA Primary

Addresses

Primary practice location

4820 Business Center Dr Ste 110
Fairfield, CA 94534-1907

Mailing address

100 Church St S Ste A230
New Haven, CT 06519-1703
Phone (203) 737-2284

Other practice location 1

100 Church St S Ste A230
New Haven, CT 06519-1703
Phone (203) 737-2284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
64795CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Specialists Inc CurrentSince Mar 1, 2025 Accepting new patients
Community Medical Specialists Inc PastSince May 1, 2024 Accepting new patients

Locations

415 Knollcrest Dr
Ste 101
Redding, CA 96002
Phone (530) 255-7507

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1871351791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHURCH ST S STE A230",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191703",
            "telephone_number": "203-737-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 BUSINESS CENTER DR STE 110",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341907",
            "telephone_number": "707-703-5075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Church St S Ste A230",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065191703",
            "country_code": "US",
            "telephone_number": "203-737-2284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REID",
        "first_name": "CAROLYN",
        "middle_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF HEALTH SC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "64795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.