Individual provider Active NPI

Usha Rani K. Reddy, M.D.

  • Emergency Medicine Physician
  • San Pedro, CA
National Provider Identifier
1144252446
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A44317 Issued in CA
Practice address
1300 W 7TH St
San Pedro, CA 90732-3505
Phone
(310) 514-5350
Fax
(310) 514-5421
NPI assigned
Jul 7, 2006
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A44317 CA Primary

Addresses

Primary practice location

1300 W 7TH St
San Pedro, CA 90732-3505

Mailing address

PO Box 661360
Arcadia, CA 91066-1360
Phone (626) 447-0296

Other identifiers 1

IdentifierTypeStateIssuer
00A443170MedicaidCA

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
I20040901000372 CA Practitioner - Family PracticePractitioner - Emergency Medicine 6103891205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reddy Urgent Care IncGroup PAC ID 4284884982, 14 clinicians

Practice addresses (Care Compare)

4237 Atlantic Ave
Long Beach, CA 90807-2801
Phone (562) 336-1656

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reddy Urgent Care,Inc CurrentSince Sep 1, 2012 Accepting new patients
Stephen R. Shea, M.D., Inc. Emergency Medicine CurrentSince Jan 1, 1996 Accepting new patients
Stephen R Shea, M.D., Inc Emergency Medicine CurrentSince Jan 1, 1996 Accepting new patients

Locations

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

123 Atlantic Ave
Long Beach, CA 90802
Phone (562) 436-8294

123 Atlantic Ave
Ste B
Long Beach, CA 90802
Phone (562) 209-1569

4237 Atlantic Ave
Long Beach, CA 90807
Phone (562) 336-1656

4288 Katella Ave
Los Alamitos, CA 90720
Phone (562) 296-8514

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1144252446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661360",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910661360",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 7TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323505",
            "telephone_number": "310-514-5350",
            "fax_number": "310-514-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "USHA RANI",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A44317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A443170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.