Individual provider Active NPI

Pavani Naini Reddy, MD

  • Internal Medicine Physician
  • Fullerton, CA
National Provider Identifier
1982616124
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A88373 Issued in CA
Practice address
220 Laguna Rd Ste 2
Fullerton, CA 92835-2523
Phone
(714) 446-7454
NPI assigned
Aug 13, 2006
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A88373 CA Primary

Addresses

Primary practice location

220 Laguna Rd Ste 2
Fullerton, CA 92835-2523

Mailing address

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

Other names 1

  • Dr. Pavani Reddy Naini Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061017000355 CA Practitioner - Internal Medicine 6608872585 Reassigns benefits to 4 organizations
I20240805002933 AZ Practitioner - Nephrology 6608872585 Reassigns benefits to 1 organization
I20250930000851 CA Practitioner - Nephrology 6608872585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nephrology Group IncGroup PAC ID 4688767262, 50 clinicians
Arizona Kidney Care LLCGroup PAC ID 2466703970, 4 clinicians

Practice addresses (Care Compare)

1140 Olivewood Dr
Merced, CA 95348-1210
Phone (559) 228-6600

2901 N Stockton Hill Rd
Suite B
Kingman, AZ 86401-4121
Phone (928) 718-0777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88373CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fountain Valley Group Services PC CurrentSince Jan 10, 2015 Accepting new patients
James Song MD a Professional Corporation CurrentSince Dec 24, 2011 Accepting new patients
The Nephrology Group, Inc. Current Accepting new patients
Temecula Valley Hospitalist Medical Group, Inc. Internal Medicine CurrentSince May 1, 2014 Accepting new patients
Pih Health Physicians CurrentSince Jul 31, 2012 Accepting new patients
Pih Health Physicians CurrentSince Jul 31, 2012 Accepting new patients
Arizona Kidney Care LLC CurrentSince Jun 15, 2024 Accepting new patients
Pih Health Physicians Current Accepting new patients
The Nephrology Group, Inc. Clinical Lab CurrentSince Nov 11, 2025 Accepting new patients
Fountain Valley Group Services PC Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients

Locations

2901 N Stockton Hill Rd
Ste B
Kingman, AZ 86401
Phone (928) 718-0777

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

568 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 228-9660

16404 Colima Rd
Fl 1
Hacienda Heights, CA 91745
Phone (626) 581-7603

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

12675 La Mirada Blvd
Ste 201401
La Mirada, CA 90638
Phone (562) 903-7339

1140 Olivewood Dr
Merced, CA 95348
Phone (209) 725-2121

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1982616124",
    "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": "220 LAGUNA RD STE 2",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352523",
            "telephone_number": "714-446-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "PAVANI",
        "middle_name": "NAINI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAVANI",
            "last_name": "NAINI",
            "middle_name": "REDDY",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.