Serra V. Reid, D.A.O.M., L.AC.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

AC12963 Issued in CA

Practice address

4201 Park Blvd
San Diego, CA 92103-2512

Phone

(619) 584-4321

NPI assigned

May 12, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1982838538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 PARK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032512",
            "telephone_number": "619-584-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 PARK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032512",
            "telephone_number": "619-584-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "SERRA",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.A.O.M., L.AC.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-12",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "AC12963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Reid
• Karla Reid
• Katie Reid
• Malia Meleane Christen Reid, MS, CF-SLP
• Ravyn L Reid, MS CCC-SLP
• Vicki Lynn Reid, RN
• Victoria Reid
• Yasmine Reid
• Jennifer Reider, LPCC, PPS
• Michael Robert Reider, PH.D.

• General Practice Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.