Active NPI
Lalitha Ravindranath Reddy, M.D.
- Pediatrics Physician
- Porterville, CA
National Provider Identifier
1104992981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A034259
- Practice address
- 591 W Putnam Ave
Porterville, CA 93257-3260 - Phone
- (559) 784-5717
- Fax
- (559) 784-2443
- NPI assigned
- Nov 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A034259 | CA | Primary |
Addresses
Primary practice location
591 W Putnam Ave
Porterville, CA 93257-3260
Mailing address
591 W Putnam Ave
Porterville, CA 93257-3260
Phone (559) 784-5717
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZT-30261 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A034259 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104992981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 W PUTNAM AVE",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932573260",
"telephone_number": "559-784-5717",
"fax_number": "559-784-2443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 W PUTNAM AVE",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932573260",
"telephone_number": "559-784-5717",
"fax_number": "559-784-2443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "LALITHA",
"middle_name": "RAVINDRANATH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A034259",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZT-30261",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Porterville, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.