Divakar Krishnareddy, M.D

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

A35665 Issued in CA

Practice address

16702 Valley View Ave
La Mirada, CA 90638-5824

Phone

(562) 921-0341

Fax

(562) 404-0266

NPI assigned

Jun 17, 2006

Last updated

Jul 21, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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.

• Healthpointe Medical Group, Inc.

  • Specialist
  • Garden Grove, CA
  • NPI 1487695847
  NPD
• Healthpointe Medical Group, Inc.

  • Specialist
  • Perris, CA
  • NPI 1508808916
  NPD
• Healthpointe Medical Group, Inc.

  dba First Care Industrial Medicine Center

  • Specialist
  • Anaheim, CA
  • NPI 1548201304
  NPD
• Healthpointe Medical Group, Inc.

  • Specialist
  • Ontario, CA
  • NPI 1740221472
  NPD
• Serra Community Medical Clinic Inc

  • Adult Medicine Physician
  • Sun Valley, CA
  • NPI 1275545725

  Orthopaedic Surgery

  NPD
• Serra Community Medical Clinic, Inc.

  dba Serra Community Medical Clinic- Pacoima

  • Internal Medicine Physician
  • Pacoima, CA
  • NPI 1477134302
  NPD
• Ahmc Whittier Hospital Medical Center LP

  dba Whittier Hospital Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Whittier, CA
  • NPI 1497855605
  NPD (past)
• Coast Plaza Doctors Hospital

  dba Coast Plaza Hospital

  • General Acute Care Hospital
  • Norwalk, CA
  • NPI 1669429221
  NPD (past)
• Healthpointe Medical Group, Inc.

  • Specialist
  • La Mirada, CA
  • NPI 1548408024
  NPD (past)
• Healthpointe Medical Group, Inc.

  • Specialist
  • Long Beach, CA
  • NPI 1851678437
  NPD (past)
• Pacifica of the Valley Corporation

  dba dba Pacifica Hospital of the Valley

  • Pharmacy
  • Sun Valley, CA
  • NPI 1700963790
  NPD (past)
• Southern California Healthcare System, Inc

  dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871538710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 SATURN AVE STE 210",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554568",
            "telephone_number": "323-587-3965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824",
            "telephone_number": "562-921-0341",
            "fax_number": "562-404-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISHNAREDDY",
        "first_name": "DIVAKAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A35665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A356650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kindred Hospital Soutbay
• KND Development 59 LLC
• Sung Woo Koh, MD
• Andrew Solanzo Kojo, PHARMD
• Bo Kong, MD
• Bon Seong Ku, L.AC
• Wayne Kuang, DO
• Konrad Kirk Kuenstler, PT
• Jana Kukla
• Kwangsun C Shin (Imperial Pharmacy)

• Orthopaedic Surgery Physician in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.