NPIMap

Organization Active NPI

Pavani Reddy MD, Inc

  • Internal Medicine Physician
  • Brea, CA
National Provider Identifier
1831457753
Registry record updated Apr 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A88373 Issued in CA
Legal business name
PAVANI REDDY MD, INC
Practice address
4002 Grandview Dr
Brea, CA 92823-1068
Phone
(714) 473-8777
NPI assigned
Apr 28, 2012
Last updated
Apr 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2012

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

Authorized official

Name
Dr. Pavani Naini Reddy, M.DNPI 1982616124
Title
President
Phone
(714) 473-8777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A88373 CA Primary

Addresses

Primary practice location

4002 Grandview Dr
Brea, CA 92823-1068

Mailing address

4002 Grandview Dr
Brea, CA 92823-1068
Phone (714) 473-8777

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335571200000",
    "number": "1831457753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 GRANDVIEW DR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928231068",
            "telephone_number": "714-473-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 GRANDVIEW DR",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928231068",
            "telephone_number": "714-473-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVANI REDDY MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-28",
        "last_updated": "2012-04-28",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "PAVANI",
        "authorized_official_middle_name": "NAINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-473-8777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.