Individual provider Active NPI

Swarna Latha Kommireddy, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Laguna Hills, CA
National Provider Identifier
1780567727
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95039407 Issued in CA
Practice address
Saddleback Valley Medical Center, 23961 Calle de la Mag
Laguna Hills, CA 92653
Phone
(949) 989-7746
NPI assigned
Jul 28, 2025
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95039407 CA Primary

Addresses

Primary practice location

Saddleback Valley Medical Center, 23961 Calle de la Mag
Laguna Hills, CA 92653

Mailing address

Saddleback Valley Medical Center, 23961 Calle de la Mag
Laguna Hills, CA 92653
Phone (949) 989-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203004412 NC Practitioner - Nurse Practitioner 8123519154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pediatric and Family Behavioral Health PLLCGroup PAC ID 6608287909, 7 clinicians

Practice addresses (Care Compare)

1111 Circle Dr
Monroe, NC 28112-5834
Phone (704) 764-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
KOMM-22QHQNCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric and Family Behavioral Health, PLLC Psychiatric/Mental Health CurrentSince Dec 1, 2025 Accepting new patients

Locations

1111 Circle Dr
Monroe, NC 28112
Phone (704) 289-8537

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1780567727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SADDLEBACK VALLEY MEDICAL CENTER, 23961 CALLE DE LA MAG",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-989-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SADDLEBACK VALLEY MEDICAL CENTER, 23961 CALLE DE LA MAG",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-989-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMMIREDDY",
        "first_name": "SWARNA",
        "middle_name": "LATHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-28",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95039407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.