Vijaya L Reddy MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A91027 Issued in CA

Legal business name

VIJAYA L REDDY MD INC

Practice address

9261 Laguna Springs Dr
Suite 100
Elk Grove, CA 95758-7983

Phone

(916) 688-1111

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Vijaya L Reddy MD Inc, MD

Title

President

Phone

(916) 686-7282

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vijaya L. Reddy, M.D.

  • Family Medicine Physician
  • Elk Grove, CA
  • NPI 1114005865
  Medicare reassignment

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1366743197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9261 LAGUNA SPRINGS DR",
            "address_2": "SUITE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587983",
            "telephone_number": "916-688-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9261 LAGUNA SPRINGS DR",
            "address_2": "SUITE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587983",
            "telephone_number": "916-688-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYA L REDDY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "REDDY  MD INC",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-686-7282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A91027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey L Vetrone, OD
• Taylor Nelson VI, PHARMD
• Angelina Vicente
• Jaclyn Victoria, MSN, APRN, FNP-C
• Robert Viera
• Andy H. Vila, MD
• Lisa M. Vila, MD
• Spencer M Vila
• Monica Villafan
• Abbie Villani

• Family Medicine Physician in Elk Grove, CA
• Providers in Elk Grove, 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 Nov 10, 2010; 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.