Active NPI
Srinidhi Reddy, MD
- Reproductive Endocrinology Physician
- Oakland, CA
National Provider Identifier
1720434988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- A184197
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 411770701 | Medicaid | TX | |
| 411770702 | Other | CSHCN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A184197 | CA | MD | Reproductive Endocrinology Physician |
Interoperability endpoints
- sreddy24763@direct.utmsa.com
- 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.