Dhurga Syamala Reddy, N.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ND381 Issued in CA

Practice address

1831 Orange Ave Ste a
Costa Mesa, CA 92627-2839

Phone

(949) 574-4978

Fax

(949) 574-9854

NPI assigned

Nov 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1316274566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 ORANGE AVE STE A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272839",
            "telephone_number": "949-574-4978",
            "fax_number": "949-574-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 ORANGE AVE STE A",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272839",
            "telephone_number": "949-574-4978",
            "fax_number": "949-574-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "DHURGA",
        "middle_name": "SYAMALA",
        "name_prefix": "Dr.",
        "credential": "N.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CA",
            "license": "ND-381",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "ND381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lili Yu Lim Kim Reboul, PSY. D.
• Diana Vanessa Recinos
• Recovery Bay Rehabilitation Center
• Recovery Solutions LLC
• Mary Allison Redden, FNP-C
• Sailaja M Reddy, MD
• Cydnei Rediford
• Aixa Redmond
• Cortney Lynn Reed
• Jacob Reel

• Family Medicine Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.