Valley Pediatric Pulmonary Medical Corp.

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

2080P0214X Issued in CA

Legal business name

VALLEY PEDIATRIC PULMONARY MEDICAL CORP.

Practice address

9300 Valley Childrens PL
Madera, CA 93638-8761

Phone

(559) 353-5550

Fax

(559) 353-5587

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By 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

Dr. Sudhakar L. Reddivalam, M.D.NPI 1003969429

Title

Pediatric Pulmonologist

Phone

(559) 353-5550

Specialties & licenses 1

Addresses

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.

• Sudhakar Reddivalam, M.D.

  • Pediatric Pulmonology Physician
  • Madera, CA
  • NPI 1003969429
  Authorized official Same address or phone

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285788398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388761",
            "telephone_number": "559-353-5550",
            "fax_number": "559-353-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936388761",
            "telephone_number": "559-353-5550",
            "fax_number": "559-353-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PEDIATRIC PULMONARY MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDDIVALAM",
        "authorized_official_first_name": "SUDHAKAR",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PEDIATRIC PULMONOLOGIST",
        "authorized_official_telephone_number": "559-353-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "CA",
            "license": "2080P0214X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Children's Specialty Medical Group, Inc.
• Valley Dental Network (Shields dental, Del Mar Dental, Nunez Yosemite Dental, Durfee Dental C)
• Valley Gastro Specialists
• Valley Mountain Homehealth Inc
• Valley Nuclear Medical Group Inc.
• Valley Teen Ranch
• Valley Teen Ranch
• Valley's Therapy Placement Agency, LLC
• Kristin Van Horn
• Sharon Qua Vanderplaats, RN, NP

• Pediatric Pulmonology Physician in Madera, CA
• Providers in Madera, CA by specialty
• Pediatric Pulmonology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.