Individual provider Active NPI

Shivani Reddy, M.D.

  • Dermatology Physician
  • Mountain View, CA
National Provider Identifier
1427589043
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A162084 Issued in CA
Practice address
525 South Dr Ste 115
Mountain View, CA 94040-4211
Phone
(650) 969-5600
Fax
(650) 969-0360
NPI assigned
Mar 24, 2017
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A162084 CA Primary

Addresses

Primary practice location

525 South Dr Ste 115
Mountain View, CA 94040-4211

Mailing address

6399 San Ignacio Ave Ste 120
San Jose, CA 95119-1215

Other practice location 1

2420 Samaritan Dr
San Jose, CA 95124-3907
Phone (408) 369-5600

Other practice location 2

3060 Broadway
Redwood City, CA 94062-1512
Phone (650) 361-1177

Other practice location 3

2438 N Ponderosa Dr Ste C105
Camarillo, CA 93010-2465
Phone (805) 388-2068

Other practice location 4

1700 N Rose Ave Ste 450
Oxnard, CA 93030-7628
Phone (805) 201-7150

Other practice location 5

136 N San Mateo Dr
San Mateo, CA 94401-2777
Phone (650) 348-1242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624001493 CA Practitioner - Dermatology 5991110363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Csi Medical GroupGroup PAC ID 5890916845, 104 clinicians

Practice addresses (Care Compare)

285 N El Camino Real
Suite 117
Encinitas, CA 92024-5384
Phone (760) 633-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision145
Removal of tissue1-10
Removal of skin lesions397
Removal of skin cancer439
Removal of nail tissue1-10
Removal or shaving of skin growth125
Skin biopsy59

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162084CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlsbad and Vista Dermatology, Inc. Dermatology CurrentSince Jul 1, 2021 Accepting new patients
Csi Medical Group Dermatology CurrentSince Jul 1, 2021 Accepting new patients
California Skin Institute, a Medical Corporation Dermatology Past Accepting new patients
Dermatology & Cosmetic Care, a Medical Corporation Dermatology PastSince Nov 12, 2010 Accepting new patients
Alameda Health System Past Accepting new patients

Locations

2438 N Ponderosa Dr
Ste C105
Camarillo, CA 93010
Phone (805) 308-2068

285 N El Camino Real
Ste 117
Encinitas, CA 92024
Phone (760) 633-1000

525 South Dr
Ste 115
Mountain View, CA 94040
Phone (408) 369-5600

1700 N Rose Ave
Ste 450
Oxnard, CA 93030
Phone (805) 201-2821

3060 Broadway
Redwood City, CA 94062
Phone (650) 361-1177

2420 Samaritan Dr
San Jose, CA 95124
Phone (408) 369-5600

6399 San Ignacio Ave
Ste 120
San Jose, CA 95119
Phone (408) 369-5620

136 N San Mateo Dr
San Mateo, CA 94401
Phone (650) 348-1242

3562 Round Barn Cir
Ste 320
Santa Rosa, CA 95403
Phone (707) 578-1900

18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407

425 Haaland Dr
Ste 204
Thousand Oaks, CA 91361
Phone (805) 467-8080

4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994

1934 Via Ctr
Ste B
Vista, CA 92081
Phone (760) 295-2299

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1427589043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 SAN IGNACIO AVE STE 120",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191215",
            "fax_number": "408-904-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SOUTH DR STE 115",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404211",
            "telephone_number": "650-969-5600",
            "fax_number": "650-969-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2420 Samaritan Dr",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951243907",
            "country_code": "US",
            "telephone_number": "408-369-5600",
            "fax_number": "408-369-5625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3060 Broadway",
            "address_purpose": "LOCATION",
            "city": "Redwood City",
            "state": "CA",
            "postal_code": "940621512",
            "country_code": "US",
            "telephone_number": "650-361-1177",
            "fax_number": "650-361-1826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2438 N Ponderosa Dr Ste C105",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930102465",
            "country_code": "US",
            "telephone_number": "805-388-2068",
            "fax_number": "805-484-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 N Rose Ave Ste 450",
            "address_purpose": "LOCATION",
            "city": "Oxnard",
            "state": "CA",
            "postal_code": "930307628",
            "country_code": "US",
            "telephone_number": "805-201-7150",
            "fax_number": "805-278-0137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 N San Mateo Dr",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944012777",
            "country_code": "US",
            "telephone_number": "650-348-1242",
            "fax_number": "650-348-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SHIVANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A162084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.