NPIMap

Organization Active NPI

Makala N. Reddy

  • Specialist
  • Apple Valley, CA
National Provider Identifier
1104979434
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
00A326150 Issued in CA
Legal business name
MAKALA N. REDDY
Practice address
18523 Corwin Rd
Suite F
Apple Valley, CA 92307-2338
Phone
(760) 242-5116
Fax
(760) 242-5217
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Makala N Reddy, M.DNPI 1407906902
Title
Owner
Phone
(760) 242-5116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 00A326150 CA Primary

Addresses

Primary practice location

18523 Corwin Rd
Suite F
Apple Valley, CA 92307-2338

Mailing address

18523 Corwin Rd
Suite F
Apple Valley, CA 92307-2338
Phone (760) 242-5116

National Provider Directory

National Provider Directory

Locations

18523 Corwin Rd
Ste F
Apple Valley, CA 92307
Phone (760) 242-5116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104979434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "address_2": "SUITE F",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072338",
            "telephone_number": "760-242-5116",
            "fax_number": "760-242-5217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "address_2": "SUITE F",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072338",
            "telephone_number": "760-242-5116",
            "fax_number": "760-242-5217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKALA N. REDDY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MAKALA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-242-5116",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "00A326150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.