Active NPI
Sudhir K Reddy MD Inc
- Gastroenterology Physician
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A48880
- Legal business name
- SUDHIR K REDDY MD INC
- Practice address
- 811 E 11TH St Ste 208
Upland, CA 91786-4872 - Phone
- (909) 982-2279
- Fax
- (909) 946-3070
- NPI assigned
- Mar 3, 2011
- Last updated
- Sep 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sudhir Kumar Reddy, MD
- Title
- Medical Director
- Phone
- (909) 946-4566
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A48880 | CA | Primary |
Addresses
Primary practice location
811 E 11TH St Ste 208
Upland, CA 91786-4872
Mailing address
811 E 11TH St Ste 208
Upland, CA 91786-4872
Phone (909) 982-2279
Other practice location 1
1798 N Garey Ave
Pomona, CA 91767-2918
Phone (909) 398-1550
Other practice location 2
1866 N Orange Grove Ave Ste 104
Pomona, CA 91767-3042
Phone (909) 489-0033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C44811 | Other | CO | UPIN |
National Provider Directory
National Provider DirectoryLocations
1866 N Orange Grove Ave
Ste 104
Pomona, CA 91767
Phone (909) 591-6414
811 E 11th St
Ste 208
Upland, CA 91786
Phone (909) 629-5540
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Chino, CA
- NPI 1720015282
-
- Psychiatry Physician
- Minneapolis, MN
- NPI 1194910406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601337600000",
"number": "1508164211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 E 11TH ST STE 208",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864872",
"telephone_number": "909-982-2279",
"fax_number": "909-946-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 E 11TH ST STE 208",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864872",
"telephone_number": "909-982-2279",
"fax_number": "909-946-3070"
}
],
"practiceLocations": [
{
"address_1": "1798 N Garey Ave",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917672918",
"country_code": "US",
"telephone_number": "909-398-1550",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1866 N Orange Grove Ave Ste 104",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917673042",
"country_code": "US",
"telephone_number": "909-489-0033",
"fax_number": "909-620-9146",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUDHIR K REDDY MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-03",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "SUDHIR",
"authorized_official_middle_name": "KUMAR",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "909-946-4566",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A48880",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "C44811",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.