Active NPI
Shivani Reddy, M.D.
- Dermatology Physician
- Mountain View, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A162084
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 90.85
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 71.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 145 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 397 |
| Removal of skin cancer | 439 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 125 |
| Skin biopsy | 59 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A162084 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlsbad and Vista Dermatology, Inc. | Dermatology | Current | Accepting new patients |
| Csi Medical Group | Dermatology | Current | Accepting new patients |
| California Skin Institute, a Medical Corporation | Dermatology | Past | Accepting new patients |
| Dermatology & Cosmetic Care, a Medical Corporation | Dermatology | Past | 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.
-
- Dermatology Physician
- Vista, CA
- NPI 1124328505
-
dba Highland General Hospital
- General Acute Care Hospital
- Oakland, CA
- NPI 1396764353
-
- Dermatology Physician
- Mountain View, CA
- NPI 1154527901
-
- Medical Specialty Clinic/Center
- Thousand Oaks, CA
- NPI 1366629800
Dermatology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Glendale, CA
- NPI 1992831176
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.