PETER MCLEAN REYNOLDS MD
NPI 1457364663
Orthopaedic Surgery - Sports Medicine in Capitola, CA

Q: What is Peter Reynolds's NPI number?

The NPI number for Peter Reynolds is 1457364663. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Q: What is Peter Reynolds's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Peter Reynolds was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 15, 2006PECOS Enrolled

4140 JADE ST, SUITE 100, CAPITOLA, CA 95010(831) 475-4024(831) 475-4344 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Peter Mclean Reynolds Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER MCLEAN REYNOLDS MD (NPI 1457364663) is an individual sports medicine provider in Capitola, California, licensed in California (C384340) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457364663

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NamePETER MCLEAN REYNOLDSCredential: MD

Location Address4140 JADE ST, SUITE 100Capitola, CA 95010-3956

Mailing Address3803 S Bascom Ave, Suite 102Campbell, CA 95008-7317 · (831) 475-4024 · Fax (831) 475-4344

Phone(831) 475-4024

Fax(831) 475-4344

Sole ProprietorNo

Enumeration DateAugust 15, 2006

Last NPPES UpdateJanuary 15, 2014

✔ NPI 1457364663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in CA · C384340

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

4140 JADE ST, Capitola, CA 95010

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA88014

Medicare ID-Type Unspecified00C384340CA

OtherC384340CA · Medical Lic

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Mclean Reynolds Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Peter Reynolds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthonorcal, Inc.

20 mi

Orthopaedic Surgery

340 DARDANELLI LN STE 10
Los Gatos, CA 95032

Reassigned Medicare billing, California enrollment
29 clinicians in this Medicare group

NPI 1124398235 (408) 412-8100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RAYMOND A VILLAVERDE P.A.

Physician Assistant (Surgical)

4140 JADE ST, SUITE 100
CAPITOLA, CA 95010

Santa Cruz County (831) 475-4344

KARIN TANAKA

Physician Assistant

4140 JADE ST
CAPITOLA, CA 95010

Santa Cruz County (408) 836-2922

VICTOR LI MD A PROFESSIONAL MEDICAL

Anesthesiology (Addiction Medicine)

4140 JADE ST, SUITE 102
CAPITOLA, CA 95010

Santa Cruz County (831) 464-7246

JOHN E. GOCHANGCO PA-C

Physician Assistant (Surgical)

4140 JADE ST, SUITE 100
CAPITOLA, CA 95010

Santa Cruz County (831) 475-4024

ORTHONORCAL, INC.

Specialist

4140 JADE ST, STE 100
CAPITOLA, CA 95010

Santa Cruz County (831) 475-4024

DANNY JOHNSON

Acupuncturist

4140 JADE ST, SUITE 102
CAPITOLA, CA 95010

Santa Cruz County (831) 464-7246

ORTHONORCAL, INC

Orthopaedic Surgery

4140 JADE ST, SUITE 100
CAPITOLA, CA 95010

Santa Cruz County (831) 475-4024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Reynolds's NPI number?

The NPI number for Peter Reynolds is 1457364663. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Peter Reynolds located?

Peter Reynolds practices at 4140 Jade St Suite 100, Capitola, CA 95010. The listed phone number is (831) 475-4024.

What is Peter Reynolds's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Peter Reynolds enrolled in Medicare?

Yes. Peter Reynolds is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Peter Reynolds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Reynolds reassigns Medicare benefits to Orthonorcal, Inc. (Los Gatos, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Reynolds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Peter Reynolds was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.