Jag Reddy MD Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

JAG REDDY MD INC

Practice address

24411 Health Center Dr
Suite 620
Laguna Hills, CA 92653-3651

Phone

(949) 521-6060

Fax

(949) 521-6063

NPI assigned

Apr 1, 2014

Last updated

Apr 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jagadeesh C. Reddy, M. D.NPI 1083610703

Title

President

Phone

(949) 521-6060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jagadeesh C Reddy, M.D.

  • Infectious Disease Physician
  • Laguna Beach, CA
  • NPI 1083610703
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1225456742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6789 QUAIL HILL PKWY",
            "address_2": "#101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926034233",
            "telephone_number": "949-521-6060",
            "fax_number": "949-521-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24411 HEALTH CENTER DR",
            "address_2": "SUITE 620",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533651",
            "telephone_number": "949-521-6060",
            "fax_number": "949-521-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAG REDDY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "JAGADEESH",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-521-6060",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vadana Iyer, PH.D.
• John William Jackson, PHARMD.
• Robert J Jackson, M.D.
• Chloe Jacobs
• Jeffrey L. Jacobs, M.D.
• Mayuri Jagadish, MD
• Nojan Jahedmanesh, DDS
• Farid Jalali, M.D.
• Adrian Jallorina
• Jacquelyn Marie James

• Infectious Disease Physician in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.