Individual provider Active NPI

Giridhar Gopal Reddy, M.D.

  • Psychiatry Physician
  • Oakland, CA
National Provider Identifier
1124166012
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A78870 Issued in CA
Practice address
7200 Bancroft Ave Ste 125 a
Oakland, CA 94605-2415
Phone
(510) 777-3846
Fax
(510) 777-3806
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A78870 CA Primary

Addresses

Primary practice location

7200 Bancroft Ave Ste 125 a
Oakland, CA 94605-2415

Mailing address

7200 Bancroft Ave Ste 125 a
Oakland, CA 94605-2415
Phone (510) 777-3846

Other names 1

  • Dr. Giridhar G Reddy Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040910001155 CA Practitioner - Psychiatry 8426025347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of AlamedaGroup PAC ID 9739070624, 9 clinicians

Practice addresses (Care Compare)

2045 Fairmont Dr
San Leandro, CA 94578-1088
Phone (510) 667-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A78870CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda, County of CurrentSince Feb 16, 2015 Accepting new patients
Alameda County Current Accepting new patients
Alameda Health System CurrentSince Jan 10, 2015 Accepting new patients
Alameda Health System CurrentSince Jan 10, 2015 Accepting new patients
County of Alameda Past Accepting new patients
DCHS Medical Foundation Past Accepting new patients
Bay Psychiatric Associates Psychiatry PastSince Oct 16, 2012 Accepting new patients
Leslie C Moretti MD Inc Past Accepting new patients

Locations

2045 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 667-7500

409 Jackson St
Ste 100
Hayward, CA 94544
Phone (510) 383-5103

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

7200 Bancroft Ave
Ste 125A
Oakland, CA 94605
Phone (510) 777-3800

3730 Hopyard Rd
Ste 103
Pleasanton, CA 94588
Phone (925) 462-3010

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124166012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 125 A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052415",
            "telephone_number": "510-777-3846",
            "fax_number": "510-777-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 BANCROFT AVE STE 125 A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052415",
            "telephone_number": "510-777-3846",
            "fax_number": "510-777-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GIRIDHAR",
        "middle_name": "GOPAL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A78870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIRIDHAR",
            "last_name": "REDDY",
            "middle_name": "G",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.