Hardeep S Reddick, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA14154 Issued in CA

Practice address

300 Pasteur Dr
Stanford, CA 94305-2200

Phone

(650) 723-4000

NPI assigned

Jul 24, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Physician Assistant

Education

George Washington University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pacific Vascular Associates LLCGroup PAC ID 9537598859, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Pacific Vascular Associates, LLC

  • Vascular Surgery Physician
  • Aiea, HI
  • NPI 1154888014
  Medicare reassignment Care Compare group
• Pacific Vascular Institute-Kona

  • Clinic/Center
  • Kailua Kona, HI
  • NPI 1720697931
  NPD Authorized official
• Pacific Vascular Institute, LLC

  • Clinic/Center
  • Aiea, HI
  • NPI 1275167348
  NPD Authorized official
• Valley Vascular Specialists LLC

  • Surgery Physician
  • Anchorage, AK
  • NPI 1609720861
  NPD
• Fremont ASC Partners, LLC

  dba Stevenson Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Fremont, CA
  • NPI 1548551377
  NPD (past)
• Knee Centers Nocal Medical Professional Corporation

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Fremont, CA
  • NPI 1700134103
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1790940104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 EMBARCADERO RD",
            "address_2": "STE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033341",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDICK",
        "first_name": "HARDEEP",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viraj Prakash Raygor, MD
• Babak Razavi, M.D., PH.D.
• Hossein Razavi, M.D.
• Dana Marie Razzano, M.D.
• Megan Ann Reali, PA-C
• Sunil Arani Reddy, M.D.
• Victoria Thida Redmond, PA-C
• Travis Lee Reece-Nguyen, MD, MPH
• Risheen Suresh Reejhsinghani, MD
• Angharad Rees-Jones, PH.D

• Medical Physician Assistant in Stanford, CA
• Providers in Stanford, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.

Verify at the official NPI Registry.