Active NPI
Makala Reddy, M.D.
- Specialist
- Apple Valley, CA
National Provider Identifier
1407906902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A326150
- Practice address
- 18523 Corwin Rd
Suite F
Apple Valley, CA 92307-2338 - Phone
- (760) 242-5116
- Fax
- (760) 242-5217
- NPI assigned
- Jan 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A326150 | CA | Primary |
Addresses
Primary practice location
18523 Corwin Rd
Suite F
Apple Valley, CA 92307-2338
Mailing address
18523 Corwin Rd
Suite F
Apple Valley, CA 92307-2338
Phone (760) 242-5116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32615 | CA | MD | Dentist |
| A326150 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Makala N. Reddy | Specialist | Past | Accepting new patients |
| Choice Physicians Network, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Apple Valley, CA
- NPI 1104979434
-
- Exclusive Provider Organization
- Apple Valley, CA
- NPI 1639401987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407906902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18523 CORWIN RD",
"address_2": "SUITE F",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072338",
"telephone_number": "760-242-5116",
"fax_number": "760-242-5217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18523 CORWIN RD",
"address_2": "SUITE F",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072338",
"telephone_number": "760-242-5116",
"fax_number": "760-242-5217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "MAKALA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A326150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.