Individual provider Active NPI

Srinidhi Reddy, MD

  • Reproductive Endocrinology Physician
  • Oakland, CA
National Provider Identifier
1720434988
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
A184197 Issued in CA
Practice address
80 Grand Ave Ste 300
Oakland, CA 94612-3757
Phone
(415) 651-3406
NPI assigned
May 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X A184197 CA Primary

Addresses

Primary practice location

80 Grand Ave Ste 300
Oakland, CA 94612-3757

Mailing address

80 Grand Ave Ste 300
Oakland, CA 94612-3757
Phone (415) 651-3406

Other practice location 1

284 E Highland Ave
San Bernardino, CA 92404-3706
Phone (909) 883-1098

Other practice location 2

9889 Magnolia Ave Ste A
Riverside, CA 92503-3581
Phone (951) 542-3900

Other identifiers 2

IdentifierTypeStateIssuer
411770701MedicaidTX
411770702OtherCSHCN

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

State licenses

LicenseStateTypeSpecialty
A184197CAMDReproductive Endocrinology Physician

Interoperability endpoints

  • Direct secure messaging: sreddy24763@direct.utmsa.com
  • Direct secure messaging: sreddy693156@hisp.ehr.sutterhealth.org

NPI Registry JSON

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1720434988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE STE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123757",
            "telephone_number": "415-651-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE STE 300",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123757",
            "telephone_number": "415-651-3406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "284 E Highland Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924043706",
            "country_code": "US",
            "telephone_number": "909-883-1098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9889 Magnolia Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925033581",
            "country_code": "US",
            "telephone_number": "951-542-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SRINIDHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "A184197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "411770701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "411770702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.