DR. MALINI KETHIREDDY (NPI# 1588828537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588828537 |
| Entity Type | Individual |
| Full Name | DR. MALINI KETHIREDDY |
| Other Name | DR. MALINI DANDU |
| Credential | M.D. |
| Practice Address |
17095 Main St Hesperia CA 92345-6004 |
| Practice Telephone | 7602416666 |
| Practice Fax Number | 7609564156 |
| Mailing Telephone | 7602416666 |
| Mailing Fax Number | 7609564156 |
| Enumeration Date | 2008-07-17 |
| Last Update Date | 2015-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A109876 | CA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 39126 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | RAILROAD MEDICARE | 1588828537 | 01 |
| Street Address |
17095 MAIN ST |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376543785 | Ziad R El-hajjaoui | Internal Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2005-07-28 |
| 1992210660 | Alice Wang | Physician Assistant | 17095 Main St, Hesperia, CA 92345-6004 | 2017-12-04 |
| 1467985259 | Anastacia Legaspi Rodriguez | Internal Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2017-04-07 |
| 1215323522 | Wajidah Abdul-khabir | Hospitalist | 17095 Main St, Hesperia, CA 92345-6004 | 2015-04-13 |
| 1508113135 | High Desert Primary Care | Internal Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2012-08-14 |
| 1194000778 | Kathryn E Stewart | Physician Assistant | 17095 Main St, Hesperia, CA 92345-6004 | 2011-10-14 |
| 1629397914 | Eki S.e. Abrams | Internal Medicine | 17095 Main St, Hesperia, CA 92345-6004 | 2010-05-26 |
| 1447402516 | Asefeh Faraz | Nurse Practitioner | 17095 Main St, Hesperia, CA 92345-6004 | 2008-10-21 |
| 1750543427 | James Christiansen | Physical Therapist | 17095 Main St, Hesperia, CA 92345-6004 | 2008-06-25 |
| 1881883064 | Angela Kwafoa Mimi Amoani | Physician Assistant | 17095 Main St, Hesperia, CA 92345-6004 | 2007-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1073003000 | Impact Care Access Network II | Family Medicine | 9390 Hesperia Rd Ste 7, Hesperia, CA 92345-3602 | 2018-05-15 |
| 1427585918 | We Heart Urgent Care Inc | Family Medicine | 11949 Hesperia Rd Ste B, Hesperia, CA 92345-2181 | 2017-05-16 |
| 1003022054 | Alliance Physicians | Family Medicine | 17081 Main St, Hesperia, CA 92345-6075 | 2007-05-15 |
| 1699851550 | Telesforo Mondares Ramos | Family Medicine | 16455 Main Street, Suite 1, Hesperia, CA 92345 | 2006-10-31 |
| 1518060169 | Myrtle Mclain | Family Medicine | 78 N Division, Hesperia, MI 49421 | 2006-09-07 |
| 1346250396 | Dr.mikel Walk In Clinic Inc | Family Medicine | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2006-08-09 |
| 1255383188 | Desert Family Practice Associates | Family Medicine | 11919 Hesperia Rd, Hesperia, CA 92345-1855 | 2006-05-17 |
| 1770562506 | Eric Rodney Hansen | Family Medicine | 14575 Main St, Hesperia, CA 92345-3322 | 2006-01-11 |
| 1902256266 | Hsin Wen | Family Medicine | 16453 Bear Valley Rd, Hesperia, CA 92345-1752 | 2016-06-17 |
| Find all providers in HESPERIA | ||||
Please comment or provide details below to improve the information on DR. MALINI KETHIREDDY.
| 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.