SURYA M REDDY


Address: 25970 Iris Ave Ste 3b, Moreno Valley, CA 92551-1660
Phone: 9519242775

SURYA M REDDY (NPI# 1437246220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437246220
Entity Type Individual
Full Name SURYA M REDDY
Credential MD
Practice Address 25970 Iris Ave Ste 3b
Moreno Valley
CA 92551-1660
Mailing Address 1207 E Florida Ave
Hemet
CA 92543-4513
Practice Telephone 9519242775
Practice Fax Number 9513790096
Mailing Telephone 9519252523
Mailing Fax Number 9519252555
Enumeration Date 2006-10-05
Last Update Date 2020-10-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine A047916 CA Allopathic & Osteopathic Physicians
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
A47916 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A479160 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
1688 N Perris Blvd Ste G2, Perris, CA 925714744 9519404500
1207 E Florida Ave, Hemet, CA 925434513 9519252523

Office Location

Street Address 25970 IRIS AVE STE 3B
City MORENO VALLEY
State CA
Zip Code 92551-1660

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730735549 Geraldine Reed-lewis Technician 24805 Quenada Dr., Moreno Valley, CA 92551 2019-08-16
1003330176 Xochitl Estrada Marroquin Behavioral Analyst 24458 Liolios Way, Moreno Valley, CA 92551 2017-07-31
1124407291 Lynelle Chapman Marriage & Family Therapist 16339 Silverbirch Rd, Morenovalley, CA 92551 2015-05-22
1225298904 Fy Eye Optometry Group Inc Optometrist 27100 Eucalyptus, Moreno Valley, CA 92551 2008-06-16
1407945306 Garfield Beach Cvs, L.L.C. Durable Medical Equipment & Medical Supplies 15025 Perris Blvd, Moreno Valley, CA 92551 2006-10-11
1033487327 Red Maple Mtu Public Health or Welfare 25100 Red Maple Ln Bldg H, Moreno Valley, CA 92551-1120 2011-12-01
1780910984 Michael Robert Thomas Physical Therapy Assistant 16420 Perris Blvd, Moreno Valley, CA 92551-1135 2009-10-22
1386190866 U.S. Healthworks Medical Group, PC Preventive Medicine 16420 Perris Blvd, Suite Q, Moreno Valley, CA 92551-1135 2016-08-25
1316292741 Beautiful Skin Essentials Inc Registered Nurse 16420 Perris Blvd, Suite #l, Moreno Valley, CA 92551-1135 2012-07-23
1265754055 Reza Farahanchi Acupuncturist 16420 Perris Blvd, Moreno Valley, CA 92551-1135 2010-02-19
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013516996 Natasha Harmis Family Medicine 1608 Lawndale Rd, El Cajon, CA 92019-3776 2020-10-21
1073135406 California Gerontology Clinic Family Medicine 1042 S Kingsley Dr Ste 3, Los Angeles, CA 90006-2408 2020-05-07
1225657331 Samantha Lillian Escalera Family Medicine 9608 Planter St, Pico Rivera, CA 90660-4743 2020-04-09
1164058897 Amani A Osman Family Medicine 9753 Holder St, Cypress, CA 90630-4004 2020-03-13
1396378980 David F Shirley M D P C Family Medicine 4001 Impala Circle, Roseville, CA 95678 2020-02-21
1013549914 Vertini Medical Group Inc Family Medicine 1001 W Carson St Ste S, Torrance, CA 90502-2051 2020-02-07
1295297463 Cedars Family Medicine Inc Family Medicine 18021 Sky Park Cir Ste G, Irvine, CA 92614-6569 2019-04-04
1811455967 Hope Geriatric Medical Center Inc Family Medicine 9 Coursan, Laguna Niguel, CA 92677-8902 2019-03-07
1245702174 Jonah Medical Group Inc Family Medicine 20627 Golden Springs Dr Ste D, Walnut, CA 91789-4814 2018-12-17
1104392885 Wilshire Connected Care Family Medicine 277 South St Ste S, San Luis Obispo, CA 93401-5039 2018-10-19
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Competitor

Search similar providers

City MORENO VALLEY
Zip Code 92551

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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