Individual provider Active NPI

Vijayalakshmi M Reddy

  • Anesthesiology Physician
  • Fremont, CA
National Provider Identifier
1598828022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A69268 Issued in CA
Practice address
2675 Stevenson Blvd
Fremont, CA 94538-2323
Phone
(510) 792-4112
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A69268 CA Primary

Addresses

Primary practice location

2675 Stevenson Blvd
Fremont, CA 94538-2323

Mailing address

700 Irwin St
#102
San Rafael, CA 94901-3339
Phone (415) 460-9927

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110324000215 CA Practitioner - Anesthesiology 7810170123 Reassigns benefits to 2 organizations
Practice locations: Fremont, CA; San Francisco, CA

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monterey Anesthesia ProfessionalsGroup PAC ID 6002047164, 17 clinicians

Practice addresses (Care Compare)

38437 Mission Blvd
Suite 102
Fremont, CA 94536-4318
Phone (831) 755-4111

Hospital & facility affiliations

  • Natividad Medical Center Hospital, Salinas, CA, CCN 050248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A69268CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Faculty Medical Group CurrentSince Jun 13, 2017 Accepting new patients
Monterey Anesthesia Professionals Anesthesiology CurrentSince Dec 14, 2016 Accepting new patients
Robert Savala MD Interventional Pain Management Corp Past Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598828022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 IRWIN ST",
            "address_2": "#102",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013339",
            "telephone_number": "415-460-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 STEVENSON BLVD",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945382323",
            "telephone_number": "510-792-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "VIJAYALAKSHMI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A69268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.