Audrey Reid and Associates,a Medical Group,Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

C32644 Issued in CA

Legal business name

AUDREY REID AND ASSOCIATES,A MEDICAL GROUP,INC

Practice address

800 Fairmount Ave
Ste 110
Pasadena, CA 91105-3150

Phone

(626) 243-9000

Fax

(626) 795-1269

NPI assigned

Jan 17, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Beverly Anne Johnson

Title

Administrator

Phone

(626) 243-9000

Specialties & licenses 1

Addresses

Other names 1

• Huntington Plaza Pediatric Group Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sushil Prabakaran Anand, M.D.

  • General Practice Physician
  • Upland, CA
  • NPI 1548444250

  Pediatrics

  NPD (past)
• Lori Lee

  • Nurse Practitioner
  • Los Angeles, CA
  • NPI 1942391859
  NPD (past)
• Stacy Ma, MD

  • Pediatrics Physician
  • Marina del Rey, CA
  • NPI 1871174680
  NPD (past)
• Abdullah Sharaf, M.D

  • Pediatrics Physician
  • Corona, CA
  • NPI 1891145850
  NPD (past)
• Steven Yi Sun, M.D.

  • Pediatrics Physician
  • Irvine, CA
  • NPI 1467831131
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891847950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE",
            "address_2": "STE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053150",
            "telephone_number": "626-243-9000",
            "fax_number": "626-795-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE",
            "address_2": "STE 110",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053150",
            "telephone_number": "626-243-9000",
            "fax_number": "626-795-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUDREY REID AND ASSOCIATES,A MEDICAL GROUP,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "626-243-9000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C32644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Huntington Plaza Pediatric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tia Atwell
• Katherine Au, MD
• Michael Au
• Vivien Au, D.O.
• Gale Marie Audia, M.F.T
• Emerald Aueyong, LPCC, LMFT
• April Mae August, PA-C
• Gayon K Augustine
• Charles Gregory Augustus
• Andrew Mynn Khine Aung, M.D.

• Pediatrics Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.