Organization Active NPI

Michelle H. Reddy M.D., Inc.

  • Gynecology Physician
  • Los Alamitos, CA
National Provider Identifier
1124799531
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
MICHELLE H. REDDY M.D., INC.
Practice address
10861 Cherry St Ste 103
Los Alamitos, CA 90720-5403
Phone
(562) 595-1961
Fax
(562) 595-5351
NPI assigned
Sep 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Ruby Rosales
Title
Manager
Phone
(562) 826-6534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

10861 Cherry St Ste 103
Los Alamitos, CA 90720-5403

Mailing address

10861 Cherry St Ste 103
Los Alamitos, CA 90720-5403
Phone (562) 595-1961

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1124799531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 103",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-595-1961",
            "fax_number": "562-595-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 103",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205403",
            "telephone_number": "562-595-1961",
            "fax_number": "562-595-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE H. REDDY M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "ROSALES",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "562-826-6534"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.