Active NPI
Dwaraknath P. Reddy, M.D.
- Gastroenterology Physician
- Pomona, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A34093
- Legal business name
- DWARAKNATH P. REDDY, M.D.
- Practice address
- 1900 Royalty Dr.
Suite 205
Pomona, CA 91767-3013 - Phone
- (909) 629-5540
- NPI assigned
- May 13, 2009
- Last updated
- May 13, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dwaraknath P. Reddy, M.D.
- Title
- Physician
- Phone
- (909) 629-5540
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A34093 | CA | Primary |
Addresses
Primary practice location
1900 Royalty Dr.
Suite 205
Pomona, CA 91767-3013
Mailing address
811 E. 11TH Street
Suite 208
Upland, CA 91786-4871
Phone (909) 629-5540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A340931 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Dwaraknath P Reddy MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Gastroenterology Physician
- Upland, CA
- NPI 1578762779
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Gastroenterology Physician
- Upland, CA
- NPI 1417964917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242172800000",
"number": "1679707046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 E. 11TH STREET",
"address_2": "SUITE 208",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864871",
"telephone_number": "909-629-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 ROYALTY DR.",
"address_2": "SUITE 205",
"city": "POMONA",
"state": "CA",
"postal_code": "917673013",
"telephone_number": "909-629-5540"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DWARAKNATH P. REDDY, M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A",
"authorized_official_last_name": "REDDY",
"authorized_official_first_name": "DWARAKNATH",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "909-629-5540",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A34093",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A340931",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.