Active NPI
Pavani Naini Reddy, MD
- Internal Medicine Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A88373
- Practice address
- 220 Laguna Rd Ste 2
Fullerton, CA 92835-2523 - Phone
- (714) 446-7454
- NPI assigned
- Aug 13, 2006
- Last updated
- Jan 27, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| A88373 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fountain Valley Group Services PC | Current | Accepting new patients | |
| James Song MD a Professional Corporation | Current | Accepting new patients | |
| The Nephrology Group, Inc. | Current | Accepting new patients | |
| Temecula Valley Hospitalist Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Pih Health Physicians | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| Arizona Kidney Care LLC | Current | Accepting new patients | |
| Pih Health Physicians | Current | Accepting new patients | |
| The Nephrology Group, Inc. Clinical Lab | Current | 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
- 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.
-
- Nephrology Physician
- Fresno, CA
- NPI 1205906229
-
- Nephrology Physician
- Kingman, AZ
- NPI 1497231237
-
- Hospitalist Physician
- Indio, CA
- NPI 1013310309
-
- Specialist
- Hacienda Heights, CA
- NPI 1043307291
-
- Family Medicine Physician
- Whittier, CA
- NPI 1609233899
-
- Internal Medicine Physician
- Temecula, CA
- NPI 1265874135
-
- Internal Medicine Physician
- Brea, CA
- NPI 1831457753
-
- Family Medicine Physician
- Montebello, CA
- NPI 1316341530
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
-
- Clinical Medical Laboratory
- Fresno, CA
- NPI 1831621788
-
- Specialist
- Whittier, CA
- NPI 1578576880
-
- Critical Care Medicine (Internal Medicine) Physician
- Indio, CA
- NPI 1194670349
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Desert Regional Medical Center
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
-
dba Mercy Medical Center Merced
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
-
dba Memorial Hospital Los Banos
- General Acute Care Hospital
- Los Banos, CA
- NPI 1366896300
-
dba Kingman Regional Medical Center
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.
- 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.