Active NPI
Sree Vaishnavi Reddy
- Child & Adolescent Psychiatry Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- A20332
- Practice address
- 3020 Childrens Way # Mc5018
San Diego, CA 92123-4223 - Phone
- (858) 576-1700
- NPI assigned
- Mar 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A20332 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | A20332 | CA | Primary |
Addresses
Primary practice location
3020 Childrens Way # Mc5018
San Diego, CA 92123-4223
Mailing address
3020 Childrens Way # Mc5018
San Diego, CA 92123-4223
Phone (858) 576-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Campbell Univ School of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (844) 496-9160
545 Laurel St
San Diego, CA 92101-1634
Phone (619) 233-4399
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A20332 | CA | MD | Psychiatry Physician |
| N/A | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Mental Health Systems, Inc. | Current | Accepting new patients | |
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Asana Integrated Medical Group PC | Psychiatry | Current | Accepting new patients |
| Community Research Foundation Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Mental Health Systems, Inc. | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Legacy Salmon Creek Hospital | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients |
Locations
474 W Vermont Ave
Ste 101
Escondido, CA 92025
Phone (760) 480-2255
2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500
1423 Broadway
Ste 1124
Oakland, CA 94612
5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311
1202 Morena Blvd
Ste 300
San Diego, CA 92110
Phone (619) 276-8112
545 Laurel St
San Diego, CA 92101
Phone (619) 233-4399
30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000
275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900
1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1760431670
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
-
dba FamilyHealth on Commercial
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1235521782
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1720745169
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1346700101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5018",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-576-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5018",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-576-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "SREE",
"middle_name": "VAISHNAVI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A20332",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A20332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.