Jaidesh Reddick, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16397 Issued in CA

Practice address

551 McCray St
Hollister, CA 95023-4090

Phone

(831) 634-4444

Fax

(831) 634-4440

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Santa Clara

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Jose, CA
  • NPI 1699885079
  Medicare reassignment
• County of Santa Clara

  • Clinic/Center
  • San Jose, CA
  • NPI 1073265914
  NPD
• County of Santa Clara

  • Pharmacy
  • San Jose, CA
  • NPI 1891871919
  NPD
• Pinnacle Medical Group, Inc.

  • Urgent Care Clinic/Center
  • Salinas, CA
  • NPI 1669557930
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013099753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 MCCRAY ST",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950234090",
            "telephone_number": "831-634-4444",
            "fax_number": "831-634-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 MCCRAY ST",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950234090",
            "telephone_number": "831-634-4444",
            "fax_number": "831-634-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDICK",
        "first_name": "JAIDESH",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "PA16397",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Nicole Ramos, RD
• Shahid J Rana, R.PH
• Pankaj Ranka, M.D.
• Timothy C Rauch, DDS
• Louis G Rayas, DDS
• Steven Reid, RAS, FAC,CSC
• David John Reikowski, PHD
• Rolan Resendiz, LVN
• Anjelica Abree Reyes
• David Reyes, MD

• Physician Assistant in Hollister, CA
• Providers in Hollister, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.