Individual provider Active NPI

Edward Reimann, MT/CLS, PA-C

  • Physician Assistant
  • San Francisco, CA
National Provider Identifier
1881048510
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
53364 Issued in CA
Practice address
2175 Market St
San Francisco, CA 94114-1474
Phone
(415) 590-6275
Fax
(415) 291-0489
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 53364 CA Primary

Addresses

Primary practice location

2175 Market St
San Francisco, CA 94114-1474

Mailing address

2175 Market St
San Francisco, CA 94114-1474
Phone (415) 590-6275

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160831001645 CA Practitioner - Physician Assistant 1456642214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

110 Sutter St
Suite 6
San Francisco, CA 94104-4020
Phone (888) 663-6331

2410 California St
San Francisco, CA 94115-2681
Phone (888) 663-6331

559 Clay St
Suite 200
San Francisco, CA 94111-3029
Phone (888) 663-6331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53364CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. CurrentSince Jun 27, 2016 Accepting new patients
One Medical Group, Inc CurrentSince Jun 27, 2016 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1955 Broadway
Ste A
Oakland, CA 94612

4 Embarcadero Ctr
Lbby Level
San Francisco, CA 94111
Phone (415) 529-4566

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 392-8200

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

2410 California St
San Francisco, CA 94115
Phone (415) 529-4050

4 Embarcadero Ctr
San Francisco, CA 94111
Phone (415) 564-8500

2950 S Delaware St
Ste 150
San Mateo, CA 94403

1004 Northgate Dr
San Rafael, CA 94903
Phone (415) 590-6150

1299 Oakmead Pkwy
Sunnyvale, CA 94085
Phone (408) 266-3100

Organizations & group practices 3

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": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1881048510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141474",
            "telephone_number": "415-590-6275",
            "fax_number": "415-291-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141474",
            "telephone_number": "415-590-6275",
            "fax_number": "415-291-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMANN",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "MT/CLS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "53364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.