Individual
DR. MICHAEL S REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
429 RIVERVIEW AVE, CAPITOLA, CA 95010-2757
(408) 386-2398
Mailing address
429 RIVERVIEW AVE, CAPITOLA, CA 95010-2757
(408) 386-2398
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A30575
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0012480
—
CA
Enumeration date
05/18/2006
Last updated
01/16/2026
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