Individual provider Active NPI

Deepak Vijayan Nair, MD

  • Pediatrics Physician
  • Reedley, CA
National Provider Identifier
1053932210
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A187051 Issued in CA
Practice address
1433 N Acacia Ave
Reedley, CA 93654-2102
Phone
(559) 391-3100
NPI assigned
Apr 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A187051 CA Primary

Addresses

Primary practice location

1433 N Acacia Ave
Reedley, CA 93654-2102

Mailing address

2072 Dali LN
Clovis, CA 93611-6196
Phone (715) 897-5877

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912001232 CA Practitioner - Pediatric Medicine 0547624488 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A187051CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince Sep 5, 2023 Accepting new patients
Reedley Community Hospital CurrentSince Sep 5, 2023 Accepting new patients
Hanford Community Hospital Past Accepting new patients

Locations

1150 E Washington Ave
Reedley, CA 93654
Phone (559) 391-3105

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

1433 N Acacia Ave
Reedley, CA 93654
Phone (559) 391-3100

Interoperability endpoints

  • Direct secure messaging: dvijayannair78507@valleychildrens-prd.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1053932210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 DALI LN",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116196",
            "telephone_number": "715-897-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N ACACIA AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542102",
            "telephone_number": "559-391-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIJAYAN NAIR",
        "first_name": "DEEPAK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A187051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedley, CA

Sources for this page

Verify at the official NPI Registry.