Healthcare Provider Details

I. General information

NPI: 1043847239
Provider Name (Legal Business Name): JAMEZE HOWARD REEDUS JAMES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1332 PARK ST STE 202
ALAMEDA CA
94501-4545
US

IV. Provider business mailing address

1332 PARK ST STE 202
ALAMEDA CA
94501-4545
US

V. Phone/Fax

Practice location:
  • Phone: 510-523-3417
  • Fax: 866-826-1671
Mailing address:
  • Phone: 510-523-3417
  • Fax: 866-826-1671

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA184955
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: