Vimala T Reddy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A54465 Issued in CA

Practice address

710 N Euclid St Ste 107
Anaheim, CA 92801-4122

Phone

(714) 533-4511

Fax

(714) 778-1016

NPI assigned

Jul 11, 2006

Last updated

Jun 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians

Share Our Selves CorporationGroup PAC ID 4789854993, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Regents of the University of California

  dba UC Davis Medical Group

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1952998973
  Medicare reassignment Care Compare group NPD
• Share Our Selves Corporation

  dba Share Our Selves Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1508073685
  Medicare reassignment Care Compare group NPD
• Regents of the University of California

  • Multi-Specialty Clinic/Center
  • Davis, CA
  • NPI 1912987553
  NPD
• Share Our Selves Corporation

  dba Share Our Selves Pharmacy

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1144717778
  NPD
• Share Our Selves Corporation

  • Federally Qualified Health Center (FQHC)
  • Santa Ana, CA
  • NPI 1295082774
  NPD
• Share Our Selves Corporation

  • Federally Qualified Health Center (FQHC)
  • Costa Mesa, CA
  • NPI 1669258612
  NPD
• Regents of the Univ of Ca

  • Orthopaedic Surgery Physician
  • Sacramento, CA
  • NPI 1275526295
  NPD (past)
• Essent PRMC LP

  dba Paris Regional Medical Center

  • Certified Registered Nurse Anesthetist
  • Paris, TX
  • NPI 1376541839
  NPD (past)

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

• Regents of the University of California

  dba University of California Davis Medical Center

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1710918545
  Care Compare affiliation

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1801821855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N EUCLID ST STE 400",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014122",
            "telephone_number": "714-517-2100",
            "fax_number": "714-300-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N EUCLID ST STE 107",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014122",
            "telephone_number": "714-533-4511",
            "fax_number": "714-778-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "VIMALA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A54465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A544650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Reddish, NP
• Monica Rene Chanel Reddix
• Anthony B Reddy, M.D.
• Hari R Reddy, M.D.
• Shilpa Reddy, DDS
• Crisanto Pimo Redoble
• Ely Yonehana Redoble
• Crystal Marie Reed
• Maria Reed
• Vaneka Reed

• Family Medicine Physician in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.