Kerisimasi L Reynolds (NPI# 1518282920, PAC ID# 7113159518) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1518282920 |
| PAC ID by PECOS | 7113159518 |
| Professional Enrollment ID | I20160914002213 |
| Full Name | Kerisimasi L Reynolds |
| Organization Legal Name | SURGICAL AFFILIATES OF CALIFORNIA |
| Address |
5196 Hill Rd E Suite 203 Lakeport CA 95453-6362 |
| Phone Number | 7075338644 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3375782667 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050380 | GOOD SAMARITAN HOSPITAL |
| 050528 | MEMORIAL HOSPITAL LOS BANOS |
| Address | Phone | Organization |
|---|---|---|
| 39180 Farwell Dr, Suite 110, Fremont, CA 94538-1052 | 5107396520 | ORTHOPAEDIC SPORTS SPECIALISTS A MEDICAL CORP. |
| 5196 Hill Rd E, Suite 203, Lakeport, CA 95453-6362 | 7075338644 | SURGICAL AFFILIATES OF CALIFORNIA |
| 2825 Capitol Ave, Sacramento, CA 95816-6039 | 9164542222 | ACUTE CARE SURGERY MEDICAL GROUP INC |
| Organization Legal Name | SURGICAL AFFILIATES OF CALIFORNIA |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria W House | General Surgery | Surgical Affiliates of California | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Bess E Brackett | Orthopedic Surgery | Surgical Affiliates of California | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Wei Loong Glenn Koh | General Surgery | Surgical Affiliates of California | 520 W I St, Los Banos, CA 93635-3419 |
| Rick F Pospisil | Orthopedic Surgery | Surgical Affiliates of California | 200 Mission Blvd, Jackson, CA 95642-2564 |
| Patrick J Osgood | Orthopedic Surgery | Surgical Affiliates of California | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Ronald G Rosen | General Surgery | Surgical Affiliates of California | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Amber Chatwin | Orthopedic Surgery | Surgical Affiliates of California | 5176 Hill Rd E, Lakeport, CA 95453-6300 |
| Peter L Wong | General Surgery | Surgical Affiliates of California | 520 W I St, Los Banos, CA 93635-3419 |
| Street Address |
5196 HILL RD E SUITE 203 |
| City | LAKEPORT |
| State | CA |
| Zip | 95453-6362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeannie L Pflum | Obstetrics/gynecology | Sutter Bay Hospitals | 5196 Hill Rd E, Suite 300, Lakeport, CA 95453-6374 |
| Robert Bryan Murphy | Obstetrics/gynecology | Sutter Bay Hospitals | 5196 Hill Rd E, Suite 300, Lakeport, CA 95453-6374 |
| Andrew I Schwartz | Family Medicine | Sutter Bay Hospitals | 5196 Hill Rd E, Suite 300, Lakeport, CA 95453-6374 |
| Keith Donald | General Surgery | 5196 Hill Rd E, Suite 201, Lakeport, CA 95453-6362 | |
| Derrick J Barnes | Obstetrics/gynecology | Sutter Bay Hospitals | 5196 Hill Rd E, Suite 300, Lakeport, CA 95453-6374 |
| Jaime J Molden | Cardiac Electrophysiology | Sutter Bay Hospitals | 5196 Hill Rd E, Suite 300, Lakeport, CA 95453-6374 |
| Richard Mayhew Deits | Cardiovascular Disease (cardiology) | Sutter Bay Hospitals | 5196 Hill Rd E, Suite 300, Lakeport, CA 95453-6374 |
| Kirk G Andrus | Family Medicine | Sutter Bay Hospitals | 5196 Hill Rd E, Suite 300, Lakeport, CA 95453-6374 |
| Bunchong Kosolcharoen | Internal Medicine | 5196 Hill Rd E, Lakeport, CA 95453-6362 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Alwyn Jameson | Chiropractic | 930 11th St, Lakeport, CA 95453-4104 | |
| Geoffrey L Rice | Ophthalmology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Joanne M Lamonica | Urology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Randall E Woesner | Ophthalmology | Ukiah Adventist Hospital | 475 N Forbes St, Lakeport, CA 95453-4725 |
| Alanna Lee Wargula | Podiatry | Parkview Podiatry | 175 Park St, Lakeport, CA 95453-4803 |
| Katherine Andre | Psychologist, Clinical | 75 4th St, Lakeport, CA 95453-4804 | |
| Allison Jill Aclufi | Clinical Psychologist | 380 N Main St J, Lakeport, CA 95453-4845 | |
| Erin Alice Dailey | Psychologist, Clinical | 149 N Main St, Suite 200, Lakeport, CA 95453-4846 | |
| Mark L Buehnerkemper | Optometry | 120 S Main St, Lakeport, CA 95453-5017 | |
| David L Browning | Optometry | 225 S Main St, Lakeport, CA 95453-5018 | |
| Find all physicians in zip 95453 | |||
| City | LAKEPORT |
| Zip Code | 95453 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | LAKEPORT + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Kerisimasi L Reynolds.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.