NPIMap

Individual provider Active NPI

Roopa Reddy, M.D.

  • Internal Medicine Physician
  • San Pedro, CA
National Provider Identifier
1821007709
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G73759 Issued in CA
Practice address
1360 W. Sixth Street
Ste. 200
San Pedro, CA 90732-3514
Phone
(310) 547-9922
Fax
(310) 547-4673
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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 G73759 CA Primary

Addresses

Primary practice location

1360 W. Sixth Street
Ste. 200
San Pedro, CA 90732-3514

Mailing address

1360 W. Sixth Street
Ste. 200
San Pedro, CA 90732-3514
Phone (310) 547-9922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081023000735 CA Practitioner - Internal Medicine 1456419100 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wayne State University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cor Healthcare Medical AssociatesGroup PAC ID 0547157976, 25 clinicians
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

1360 W 6TH St
Suite 315
San Pedro, CA 90732-3581
Phone (310) 547-9922

Hospital & facility affiliations

  • Torrance Memorial Home Health Home health agency, Torrance, CA, CCN 057788
  • Hollywood Home Health Services Home health agency, N Hollywood, CA, CCN 058310
  • Providence Home Health la County South Home health agency, Torrance, CA, CCN 557447
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Providence Little Co of Mary Med Ctr San Pedro Hospital, San Pedro, CA, CCN 050078
  • Memorialcare Long Beach Medical Center Hospital, Long Beach, CA, CCN 050485
  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73759CAMDPharmacist
G73759CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Healthcare Medical Associates Internal Medicine CurrentSince Jun 1, 2008 Accepting new patients
Torrance Health Association Inc CurrentSince Apr 13, 2025 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System Southern California Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

1360 W 6th St
Ste 200
San Pedro, CA 90732
Phone (310) 547-9922

1360 W 6th St
Ste 315
San Pedro, CA 90732
Phone (310) 547-9922

2340 Plaza del Amo
Ste 115
Torrance, CA 90501
Phone (310) 781-1414

2841 Lomita Blvd
Ste 100
Torrance, CA 90505
Phone (310) 257-0508

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

3445 Pacific Coast Hwy
Ste 100
Torrance, CA 90505
Phone (310) 257-0508

Interoperability endpoints

  • Direct secure messaging: r.reddy@chc.directbygreenway.com

Organizations & group practices 5

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 8

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1821007709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W. SIXTH STREET",
            "address_2": "STE. 200",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-547-9922",
            "fax_number": "310-547-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W. SIXTH STREET",
            "address_2": "STE. 200",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-547-9922",
            "fax_number": "310-547-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "ROOPA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G73759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

Verify at the official NPI Registry.