| Peter Mclean Reynolds, MD | |
|
4140 Jade St, Suite 100, Capitola, CA 95010-3956 | |
| (831) 475-4024 | |
| (831) 475-4344 |
| Full Name | Peter Mclean Reynolds |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Sports Medicine |
| Location | 4140 Jade St, Capitola, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457364663 | NPI | - | NPPES |
| C384340 | Other | CA | MEDICAL LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | C384340 (California) | Primary |
| Entity Name | Orthonorcal Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124398235 PECOS PAC ID: 2567623390 Enrollment ID: O20120420000663 |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Mclean Reynolds, MD 3803 S Bascom Ave, Suite 102, Campbell, CA 95008-7317 Ph: (831) 475-4024 | Peter Mclean Reynolds, MD 4140 Jade St, Suite 100, Capitola, CA 95010-3956 Ph: (831) 475-4024 |
Michael Salvatore Nuzzo, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4140 Jade St Ste 100, Capitola, CA 95010 Phone: 831-475-4024 | |
Nicholas Abidi, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4140 Jade St Ste 100, Capitola, CA 95010 Phone: 831-475-4024 Fax: 831-475-4344 | |
Mr. Joseph P Fogel, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 824 Bay Ave, Ste 70, Capitola, CA 95010 Phone: 831-464-6200 Fax: 831-464-6204 |