Active NPI
Prasad V Reddy, M.D.
- Psychiatry Physician
- Visalia, CA
National Provider Identifier
1588862262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A95784
- Practice address
- 4134 S Demaree St Ste B
Visalia, CA 93277-9514 - Phone
- (559) 366-4186
- Fax
- (559) 366-4187
- NPI assigned
- Jul 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | A95784 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | A95784 | CA | |
| Psychiatry Physician | 2084P0800X | A95784 | CA | Primary |
Addresses
Primary practice location
4134 S Demaree St Ste B
Visalia, CA 93277-9514
Mailing address
PO Box 1629
Tulare, CA 93275-1629
Phone (559) 366-4186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A95784 | Other | CA | MEDICAL BOARD CERTIFICATE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- prasad.reddy.p1@direct.altura.nextgenshare.com
- prasad.reddy@fhcn.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/JEHCCA/Endpoint/JEHCCA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1588862262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1629",
"city": "TULARE",
"state": "CA",
"postal_code": "932751629",
"telephone_number": "559-366-4186",
"fax_number": "559-366-4187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4134 S DEMAREE ST STE B",
"city": "VISALIA",
"state": "CA",
"postal_code": "932779514",
"telephone_number": "559-366-4186",
"fax_number": "559-366-4187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDY",
"first_name": "PRASAD",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-05",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "CA",
"license": "A95784",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "A95784",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A95784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD CERTIFICATE",
"identifier": "A95784",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.