Sumana & Ananthram Reddy MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

C52423 Issued in CA

Legal business name

SUMANA & ANANTHRAM REDDY MD INC

Practice address

6699 Alvarado Rd
Suite 2301
San Diego, CA 92120-5238

Phone

(619) 588-4074

Fax

(619) 588-4004

NPI assigned

Jan 24, 2011

Organization subpart

No

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

Authorized official

Name

Becky Nelson

Title

Office Manager

Phone

(619) 875-2865

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Margaret Pan, PA

  • Physician Assistant
  • Encinitas, CA
  • NPI 1598345407
  Medicare reassignment
• Ananthram Pottipati Reddy, M.D.

  • Gastroenterology Physician
  • Santee, CA
  • NPI 1124014923
  Medicare reassignment
• Sumana Reddy, MD

  • Allergy & Immunology Physician
  • El Cajon, CA
  • NPI 1053300251
  Medicare reassignment
• Tommy Yu-DO Yen, M.D.

  • Gastroenterology Physician
  • San Diego, CA
  • NPI 1053421958
  Medicare reassignment

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1114222155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD",
            "address_2": "SUITE 2301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205238",
            "telephone_number": "619-588-4074",
            "fax_number": "619-588-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 ALVARADO RD",
            "address_2": "SUITE 2301",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205238",
            "telephone_number": "619-588-4074",
            "fax_number": "619-588-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMANA & ANANTHRAM REDDY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "619-875-2865"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "C52581",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "C52423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANANTHRAM REDDY, MD LICENSE",
            "identifier": "C52423",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANANTHRAM REDDY, MD NPI",
            "identifier": "1124014923",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMANA REDDY, MD NPI",
            "identifier": "1053300251",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMANA REDDY, MD LICENSE",
            "identifier": "C52581",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia Padilla Sullivan, LCSW
• Nicole Alexis Sully
• Julie Sulzinger, M.A., BCBA
• Sumad LLC
• Ella Marie Sumagaysay
• Estrella Maricela Sumano
• Isabel Sumano
• Danny C Sumbillo, RD
• Ann M Sumida-Johnson, M.A..
• Jennifer Kaye Summerfield

• Gastroenterology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.