Individual provider Active NPI

Jennifer Reodica, M.D.

  • Anesthesiology Physician
  • Daly City, CA
National Provider Identifier
1922071539
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A89673 Issued in CA
Practice address
901 Campus Drive
Suite 102
Daly City, CA 94015-4930
Phone
(415) 642-0707
Fax
(650) 775-8638
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A89673 CA Primary

Addresses

Primary practice location

901 Campus Drive
Suite 102
Daly City, CA 94015-4930

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120224000121 CA Practitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Interventional Pain Management 5496930877 Reassigns benefits to 4 organizations
Practice locations: San Francisco, CA

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.3 of 100Reported as group
Quality
59.22
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89673CAMDPharmacist
A89673CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Anesthesia Inc Anesthesiology CurrentSince Feb 28, 2017 Accepting new patients
Pontine Incorporated Anesthesiology CurrentSince Jan 15, 2023 Accepting new patients
Blue Eagle Anesthesia Inc a Professional Corporation Anesthesiology CurrentSince Dec 19, 2011 Accepting new patients

Locations

1208 E 5th St
#200
Benicia, CA 94510
Phone (707) 745-5500

901 Campus Dr
Ste 310
Daly City, CA 94015
Phone (650) 755-0337

901 Campus Dr
Ste 102
Daly City, CA 94015
Phone (650) 991-2000

575 Sir Francis Drake Blvd
Ste 3
Greenbrae, CA 94904
Phone (415) 925-1030

1700 San Pablo Ave
Pinole, CA 94564
Phone (510) 724-9500

4487 Stoneridge Dr
Pleasanton, CA 94588
Phone (925) 484-3100

1160 Post St
San Francisco, CA 94109
Phone (415) 440-1100

450 Sutter St
Rm 500
San Francisco, CA 94108
Phone (415) 393-9600

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

2299 Post St
San Francisco, CA 94115
Phone (415) 923-3770

12935 Alcosta Blvd
Unit 2037
San Ramon, CA 94583
Phone (510) 225-9090

730 Bennett Valley Rd
Santa Rosa, CA 95404
Phone (707) 396-5200

2423 W March Ln
Ste 100
Stockton, CA 95207

1006 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-2800

100 N Wiget Ln
Ste 140
Walnut Creek, CA 94598
Phone (530) 758-2324

498 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 933-3600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426636800000",
    "number": "1922071539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPUS DRIVE",
            "address_2": "SUITE 102",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940154930",
            "telephone_number": "415-642-0707",
            "fax_number": "650-775-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REODICA",
        "first_name": "JENNIFER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2015-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A89673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daly City, CA

Sources for this page

Verify at the official NPI Registry.