Active NPI
Priya Reddy, NP
- Psychiatric/Mental Health Nurse Practitioner
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95020387
- Practice address
- 4060 Fairmount Ave
San Diego, CA 92105-1608 - Phone
- (619) 280-4213
- NPI assigned
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95020387 | CA | Primary |
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | 95198942 | CA | |
| Primary Care Nurse Practitioner | 363LP2300X | 95020387 | CA |
Addresses
Primary practice location
4060 Fairmount Ave
San Diego, CA 92105-1608
Mailing address
3941 Shirlene PL
La Mesa, CA 91941-7431
Phone (512) 703-7624
Other practice location 1
502 Euclid Ave Ste 304
National City, CA 91950-8900
Phone (619) 477-0084
Other practice location 2
1075 Camino Del Rio S
San Diego, CA 92108-3538
Phone (619) 881-4636
Other practice location 3
450 Fourth Ave Ste 301
Chula Vista, CA 91910-4429
Phone (619) 271-7824
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16360 Monterey Rd
Suite 270
Morgan Hill, CA 95037-5496
Phone (408) 300-9787
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95198942 | CA | MD | Ambulatory Women's Health Care Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| La Maestra Family Clinic, Inc. | Current | Accepting new patients | |
| La Maestra Family Clinic | Past | Accepting new patients | |
| Ajay G. Meka M.D. Inc. | Past | Accepting new patients |
Locations
165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347
217 Highland Ave
National City, CA 91950
Phone (619) 280-4213
4171 Fairmount Ave
San Diego, CA 92105
Phone (619) 280-4213
4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- priya.reddy.p1@direct.lamaestra.nextgenshare.com
Organizations & group practices 5
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Morgan Hill, CA
- NPI 1982441887
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1306929443
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1568209773
-
- Internal Medicine Physician
- Santa Ana, CA
- NPI 1932214657
-
- Federally Qualified Health Center (FQHC)
- National City, CA
- NPI 1336324904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1700435211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3941 SHIRLENE PL",
"city": "LA MESA",
"state": "CA",
"postal_code": "919417431",
"telephone_number": "512-703-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 FAIRMOUNT AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921051608",
"telephone_number": "619-280-4213"
}
],
"practiceLocations": [
{
"address_1": "502 Euclid Ave Ste 304",
"address_purpose": "LOCATION",
"city": "National City",
"state": "CA",
"postal_code": "919508900",
"country_code": "US",
"telephone_number": "619-477-0084",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1075 Camino Del Rio S",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921083538",
"country_code": "US",
"telephone_number": "619-881-4636",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 Fourth Ave Ste 301",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919104429",
"country_code": "US",
"telephone_number": "619-271-7824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "PRIYA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95020387",
"primary": true
},
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "CA",
"license": "95198942",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95020387",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.