Individual provider Active NPI

Lali Reddy, M.D.

  • Obstetrics & Gynecology Physician
  • Escondido, CA
National Provider Identifier
1861522237
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A45989 Issued in CA
Practice address
1121 E Washington Ave
Escondido, CA 92025-2214
Phone
(760) 871-0606
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A45989 CA Primary

Addresses

Primary practice location

1121 E Washington Ave
Escondido, CA 92025-2214

Mailing address

7853 El Cajon Blvd Ste C
La Mesa, CA 91942-0622
Phone (619) 303-1335

Other practice location 1

5119 Garfield St
LA Mesa, CA 91941-5103
Phone (619) 303-1335

Other practice location 2

7853 El Cajon Blvd Ste C
LA Mesa, CA 91942
Phone (619) 303-1335

Other identifiers 1

IdentifierTypeStateIssuer
00A45989MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150723009741 CA Practitioner - Obstetrics/Gynecology 6608189386

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45989CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. Current Accepting new patients

Locations

1121 E Washington Ave
Escondido, CA 92025
Phone (760) 871-0606

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1861522237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7853 EL CAJON BLVD STE C",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420622",
            "telephone_number": "619-303-1335",
            "fax_number": "619-303-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E WASHINGTON AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252214",
            "telephone_number": "760-871-0606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5119 Garfield St",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919415103",
            "country_code": "US",
            "telephone_number": "619-303-1335",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7853 El Cajon Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "91942",
            "country_code": "US",
            "telephone_number": "619-303-1335",
            "fax_number": "619-303-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REDDY",
        "first_name": "LALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A45989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A45989",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.