Ravita Reddy, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A85458 Issued in CA

Practice address

Vista Clinic 17053 E Foothill Blvd
Fontana, CA 92335

Phone

(909) 347-1300

NPI assigned

Oct 3, 2006

Last updated

Aug 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ehab Yacoub MD Inc.

  dba Brain Health USA

  • Child & Adolescent Psychiatry Physician
  • Gardena, CA
  • NPI 1417373713
  Medicare reassignment NPD
• Kevin M. Kinback, M.D.

  • Psychiatry Physician
  • Ladera Ranch, CA
  • NPI 1902014780
  Medicare reassignment
• Kevin Kinback

  dba AdvancedTMS Center

  • Psychiatry Physician
  • Ladera Ranch, CA
  • NPI 1912324443

  Child & Adolescent Psychiatry

  NPD (past)
• Seneca Family of Agencies

  dba CYS Seneca OC EAST

  • Community/Behavioral Health Agency
  • Santa Ana, CA
  • NPI 1801174719
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1225122039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54252",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926194252",
            "telephone_number": "949-413-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VISTA CLINIC 17053 E FOOTHILL BLVD",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "92335",
            "telephone_number": "909-347-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "RAVITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A85458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean O. Rassman, MD
• Patrick F. Raymore, MD
• Rosario E Raymundo
• Julie Nicole Reddoch, M.D.
• Neeraja B. Reddy, MD
• Sivapriya Thumati Reddy, DO
• Refined White Smiles Dental Hygiene Practice of Robert Aviles Rdhap
• David G. Reiley, MD
• Maria Relente-Santos, MD
• Reliance Medical Transport Solutions LLC

• Child & Adolescent Psychiatry Physician in Fontana, CA
• Providers in Fontana, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.