NPIMap

Individual provider Active NPI

Jagadeesh C Reddy, M.D.

  • Infectious Disease Physician
  • Laguna Beach, CA
National Provider Identifier
1083610703
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A82683 Issued in CA
Practice address
31852 Coast Hwy
Ste 201
Laguna Beach, CA 92651-6765
Phone
(949) 715-0505
Fax
(949) 715-0508
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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 A82683 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A82683 CA
Infectious Disease Physician 207RI0200X ME88635 FL
Infectious Disease Physician 207RI0200X A82683 CA Primary

Addresses

Primary practice location

31852 Coast Hwy
Ste 201
Laguna Beach, CA 92651-6765

Mailing address

25467 Nellie Gail Rd
Laguna Hills, CA 92653-6306
Phone (949) 521-6060

Other identifiers 1

IdentifierTypeStateIssuer
269550200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060206000689 CA Practitioner - Infectious DiseasePractitioner - Internal MedicinePractitioner - Geriatric Medicine 5698755114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Geriatric Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oso Specialty Infusion IncGroup PAC ID 3274894720, 10 clinicians

Practice addresses (Care Compare)

17175 Gillette Ave
Suite B
Irvine, CA 92614-5602
Phone (949) 660-7126

26732 Crown Valley Pkwy
Suite 541
Mission Viejo, CA 92691-6376
Phone (949) 444-9328

6789 Quail Hill Pkwy
Irvine, CA 92603-4233

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.99 of 100Reported as individual
Quality
69.37
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A82683CAMDInternal Medicine Physician
ME88635FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oso Specialty Infusion, Inc. CurrentSince Mar 6, 2025 Accepting new patients
Jag Reddy MD Inc Infectious Disease CurrentSince Apr 1, 2014 Accepting new patients
New York Downtown Hospital FPP Past Accepting new patients
Vista Medical Partners a Professional Corporation Internal Medicine PastSince Feb 2, 2004 Accepting new patients
North Broward Hospital District Past Accepting new patients
Infectious Diseases Associates of Fort Lauderdale PA Infectious Disease Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

17175 Gillette Ave
Ste B
Irvine, CA 92614
Phone 94966071262100

6789 Quail Hill Pkwy
Irvine, CA 92603
Phone (949) 278-5579

23961 Calle de la Magdalena
Ste 400
Laguna Hills, CA 92653
Phone (949) 334-8200

24411 Health Center Dr
Ste 620
Laguna Hills, CA 92653
Phone (657) 241-8270

26732 Crown Valley Pkwy
Ste 541
Mission Viejo, CA 92691
Phone (949) 388-7190

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

26732 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 364-1007

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353974400000",
    "number": "1083610703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25467 NELLIE GAIL RD",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926536306",
            "telephone_number": "949-521-6060",
            "fax_number": "949-521-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31852 COAST HWY",
            "address_2": "STE 201",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516765",
            "telephone_number": "949-715-0505",
            "fax_number": "949-715-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "JAGADEESH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2012-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82683",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A82683",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME88635",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A82683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269550200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.