Sarvotham K Reddy MD Inc

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

A47769 Issued in CA

Legal business name

SARVOTHAM K REDDY MD INC

Practice address

790 E Bonita Ave
# 230
Pomona, CA 91767

Phone

(909) 626-6636

Fax

(909) 626-6627

NPI assigned

Feb 14, 2006

Organization subpart

No

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

Authorized official

Name

Sarvotham K Reddy

Title

President

Phone

(909) 626-6636

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558335752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 E BONITA AVE",
            "address_2": "# 230",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-626-6636",
            "fax_number": "909-626-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 E BONITA AVE",
            "address_2": "# 230",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91767",
            "telephone_number": "909-626-6636",
            "fax_number": "909-626-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARVOTHAM K REDDY MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SARVOTHAM",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-626-6636"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": "CA",
            "license": "A47769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A477690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paulina Saraza, DMD
• Srijita Sarkar, MD
• Nicholas Sarmiento
• Alex Sarpong
• Derek Adu Sarpong
• Marina Sarwary, PA-C
• John T Sasaki, MD
• Kayvan Confesor Sasaninia
• Kristen Angela Sasse, ACSW
• Brian Sath

• Colon & Rectal Surgery Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Colon & Rectal Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.