MRS. JODY L REIFENBERGER PA NPI 1386741072

NPI Information

  • NPI: 1386741072
  • Provider Name: MRS. JODY L REIFENBERGER, PA
  • Classification: Clinical Nurse Specialist - 364SF0001X
  • Specialization: Family Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 150 VALPREDA RD
    SAN MARCOS, CA
    ZIP 92069
  • Phone: (760) 736-6700

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NPI Details

MRS. Jody L Reifenberger, PA is a family health clinical nurse specialist in San Marcos, CA. MRS. Jody L Reifenberger, PA NPI is 1386741072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 VALPREDA RD
SAN MARCOS, CA
ZIP 92069-973
Phone: (760) 736-6700

The NPI 1386741072 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2006 and was last updated on 2/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant085002183ILLINOISNo
2364SF0001XClinical Nurse SpecialistFamily Health22669CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q22953MEDICARE UPIN
2085002183MEDICAIDILLINOIS
3K09235MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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