Om Physicians

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OM PHYSICIANS

Practice address

730 17TH St
Modesto, CA 95354-1209

Phone

(925) 398-8466

Fax

(925) 954-4770

NPI assigned

Jan 28, 2021

Last updated

Mar 31, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Manjula Kundhur Reddy, M.D.NPI 1750306189

Title

Owner/President

Phone

(925) 398-8466

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Manjula K Reddy, MD

  • Internal Medicine Physician
  • Modesto, CA
  • NPI 1750306189
  Authorized official Same address or phone
• Yuqiang Ge, M.D., PHD

  • Nephrology Physician
  • Modesto, CA
  • NPI 1740588680
  NPD (past)

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1932790433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945660164",
            "telephone_number": "925-398-8466",
            "fax_number": "925-954-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 17TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541209",
            "telephone_number": "925-398-8466",
            "fax_number": "925-954-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "MANJULA",
        "authorized_official_middle_name": "KUNDHUR",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "925-398-8466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrianna Alexis Olvera
• Jasmine Olvera, LMFT
• Jessica Olvera, B.A.
• Teresa Dolores Olvera, LMFT
• Om Medical Inc
• Chandra Om-Dedonatis
• Omega Health Clinics (Omega Health & NP Services)
• Nicole Omega
• Gordon Allan Onaka, MD
• Christopher Oneth, LMFT

• Internal Medicine Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.