Organization Active NPI

Sudhir K Reddy MD Inc

  • Gastroenterology Physician
  • Upland, CA
National Provider Identifier
1508164211
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A48880 Issued in CA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Dr. Sudhir Kumar Reddy, MDNPI 1720015282
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
C44811OtherCOUPIN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.