Organization Active NPI

JRP Medical Group Inc

  • Gastroenterology Physician
  • Riverside, CA
National Provider Identifier
1629396353
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
JRP MEDICAL GROUP INC
Practice address
9670 Magnolia Ave Ste 203
Riverside, CA 92503-3684
Phone
(951) 352-7400
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Authorized official

Name
Dr. Jyothi Ahalya Reddy, MDNPI 1033221007
Title
President
Phone
(951) 354-3976

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

9670 Magnolia Ave Ste 203
Riverside, CA 92503-3684

Mailing address

9670 Magnolia Ave Ste 201
Riverside, CA 92503-3684
Phone (951) 352-7400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jyothireddy@jrpmedical.allscriptsdirect.net Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100723000073 CA Part B Supplier - Clinic/Group Practice 5698807832 Receives reassigned benefits from 2 practitioners
Practice locations: Pomona, CA; Riverside, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0983897JRP Medical Group, Inc9670 Magnolia Ave Ste 201, Riverside, CA 92503Certificate of waiverMar 7, 2027

National Provider Directory

National Provider Directory

Locations

9670 Magnolia Ave
#201203
Riverside, CA 92503
Phone (951) 352-7400

9670 Magnolia Ave
Ste 203
Riverside, CA 92503
Phone (951) 352-7400

9670 Magnolia Ave
Ste 201
Riverside, CA 92503
Phone (951) 333-3662

Interoperability endpoints

  • Direct secure messaging: jyothireddy@jrpmedical.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602979200000",
    "number": "1629396353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9670 MAGNOLIA AVE STE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033684",
            "telephone_number": "951-352-7400",
            "fax_number": "951-352-3161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9670 MAGNOLIA AVE STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033684",
            "telephone_number": "951-352-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JRP MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "JYOTHI",
        "authorized_official_middle_name": "AHALYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-354-3976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyothireddy@jrpmedical.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9670 Magnolia Ave Ste 203",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925033684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.