Reginald Southall
NPI 1669105854 · Physician Assistant · Los Angeles, CA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Reginald Southall is a Physician Assistant provider in Los Angeles, CA (NPI 1669105854).
Provider details
- NPI number
- 1669105854
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1000 S Fremont Ave Bldg A-11Alhambra, CA 91803-8800Phone: (323) 442-1900
Registry dates
- Enumerated
- 2022-07-05
- Last updated
- 2024-06-28
- Certified
- 2024-06-28
Frequently asked questions
- What is Reginald Southall's NPI number?
- Reginald Southall's National Provider Identifier (NPI) is 1669105854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Reginald Southall's specialty?
- Reginald Southall is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Reginald Southall located?
- Reginald Southall's practice location on file with NPPES is 8700 Beverly Blvd, Los Angeles, CA 90048.
- What is Reginald Southall's phone number?
- The practice phone number listed in the NPPES registry for Reginald Southall is (310) 423-8780.
- Does Reginald Southall accept Medicare?
- Reginald Southall is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Reginald Southall's NPI active?
- Yes — Reginald Southall's NPI (1669105854) is active in the NPPES registry as of the last update on 2024-06-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.