Individual provider Active NPI

Jayapal Aragonda Reddy

  • Cardiovascular Disease Physician
  • Pomona, CA
National Provider Identifier
1073573903
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A81459 Issued in CA
Practice address
1866 N Orange Grove Ave
202
Pomona, CA 91767-3031
Phone
(909) 623-8796
Fax
(909) 623-3076
NPI assigned
Mar 24, 2006
Last updated
May 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD61336437 WA
Cardiovascular Disease Physician 207RC0000X MD22710 HI
Cardiovascular Disease Physician 207RC0000X A81459 CA Primary
Internal Medicine Physician 207R00000X A81459 CA

Addresses

Primary practice location

1866 N Orange Grove Ave
202
Pomona, CA 91767-3031

Mailing address

840 Towne Center Dr
Chaparral Medical Group
Pomona, CA 91767-5900
Phone (909) 398-1550

Other practice location 1

1625 SE 192nd Ave Ste 100
Camas, WA 98607-6505
Phone (360) 487-1965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI, WA, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040930001022 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850360348 Reassigns benefits to 3 organizations
I20221007000163 HI Practitioner - Internal Medicine 1850360348 Reassigns benefits to 2 organizations
I20241025001363 WA Practitioner - Cardiovascular Disease (Cardiology) 1850360348 Reassigns benefits to 1 organization
I20241226002002 OR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 1850360348 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kau HospitalGroup PAC ID 7416945548, shared by 9 NPIs, 138 clinicians
Hilo Benioff Medical CenterGroup PAC ID 1254422900, shared by 4 NPIs, 131 clinicians
Chaparral Medical Group IncGroup PAC ID 6800709403, shared by 2 NPIs, 66 clinicians

Practice addresses (Care Compare)

1 Kamani St
Pahala, HI 96777
Phone (808) 932-4370

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

1866 N Orange Grove Ave
Suite 202
Pomona, CA 91767-3042
Phone (909) 623-8796

350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5500

PO Box
Pahala, HI 96777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81459CAMDPharmacist
A81459CAMDCardiovascular Disease Physician
MD22710HIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 25, 2024 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Nov 25, 2024 Accepting new patients
Chaparral Medical Group, Inc. Internal Medicine Current Accepting new patients
Kau Hospital CurrentSince Sep 23, 2022 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Nov 25, 2024 Accepting new patients
Hilo Benioff Medical Center CurrentSince Sep 23, 2022 Accepting new patients
Kau Hospital CurrentSince Sep 23, 2022 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 3, 2024 Accepting new patients
Chaparral Medical Group, Inc. Internal Medicine CurrentSince Feb 1, 2007 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Nov 25, 2024 Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Chaparral Medical Group Inc Internal Medicine CurrentSince Sep 15, 2004 Accepting new patients
Cardiovascular Specialists of Redlands and the Inland Empire LLC Cardiovascular Disease CurrentSince Aug 1, 2025 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 25, 2024 Accepting new patients
Chaparral Medical Group Inc. Cardiovascular Disease CurrentSince Sep 15, 2004 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 3, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Nov 25, 2024 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Nov 25, 2024 Accepting new patients
Hilo Benioff Medical Center CurrentSince Sep 23, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Nov 25, 2024 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Chaparral Medical Group Inc Internal Medicine Past Accepting new patients
Beaver Medical Group P C Internal Medicine Past Accepting new patients
Chino Medical Group, Inc Internal Medicine Past Accepting new patients
Jayapal a Reddy MD and Radha T Reddy MD Inc PastSince Dec 1, 2013 Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1400

1801 W Olympic Blvd
Pasadena, CA 91199

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

840 Towne Center Dr
Pomona, CA 91767

9190 Haven Ave
Fl 1
Rancho Cucamonga, CA 91730
Phone (909) 527-8110

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

1752 E Lugonia Ave
Ste 1171124
Redlands, CA 92374

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

1330 San Bernardino Rd
Ste L
Upland, CA 91786
Phone (909) 833-0110

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

475 S Columbia River Hwy
Ste 100
Saint Helens, OR 97051
Phone (503) 229-8455

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

1625 SE 192nd Ave
Ste 100
Camas, WA 98607
Phone (360) 487-1965

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Networks

  • HI PPO
  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jreddy21271@hhsc.direct-ci.com

Organizations & group practices 26

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

View all 26

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1073573903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 TOWNE CENTER DR",
            "address_2": "CHAPARRAL MEDICAL GROUP",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675900",
            "telephone_number": "909-398-1550",
            "fax_number": "909-398-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 N ORANGE GROVE AVE",
            "address_2": "202",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673031",
            "telephone_number": "909-623-8796",
            "fax_number": "909-623-3076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 SE 192nd Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Camas",
            "state": "WA",
            "postal_code": "986076505",
            "country_code": "US",
            "telephone_number": "360-487-1965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "JAYAPAL",
        "middle_name": "ARAGONDA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD61336437",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "MD22710",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A81459",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A81459",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.