Individual provider Active NPI

Arjun N Reddy, MD

  • Internal Medicine Physician
  • El Cajon, CA
National Provider Identifier
1730132457
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A61204 Issued in CA
Practice address
4921 Dehesa Rd
El Cajon, CA 92019-2929
Phone
(619) 445-0707
Fax
(619) 445-0901
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A61204 CA Primary

Addresses

Primary practice location

4921 Dehesa Rd
El Cajon, CA 92019-2929

Mailing address

PO Box 3219
La Mesa, CA 91944-3219
Phone (619) 464-5174

Other practice location 1

5129 Garfield St
La Mesa, CA 91941
Phone (619) 464-5174

Other identifiers 1

IdentifierTypeStateIssuer
00A612040MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000993 CA Practitioner - Internal Medicine 7214922681 Reassigns benefits to 2 organizations
Practice locations: La Mesa, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Northeastern Ohio University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sycuan Tribal GovernmentGroup PAC ID 3971687799, 5 clinicians

Practice addresses (Care Compare)

5442 Sycuan Rd
El Cajon, CA 92019-1816
Phone (619) 445-0707

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61204CAMDDentist
A61204CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 23, 2017 Accepting new patients

Locations

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

5129 Garfield St
La Mesa, CA 91941
Phone (619) 464-5174

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1730132457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3219",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919443219",
            "telephone_number": "619-464-5174",
            "fax_number": "619-464-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 DEHESA RD",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920192929",
            "telephone_number": "619-445-0707",
            "fax_number": "619-445-0901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5129 Garfield St",
            "address_purpose": "LOCATION",
            "city": "La Mesa",
            "state": "CA",
            "postal_code": "91941",
            "country_code": "US",
            "telephone_number": "619-464-5174",
            "fax_number": "619-464-5104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ARJUN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A612040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Cajon, CA

Sources for this page

Verify at the official NPI Registry.