NEIL REDDY (NPI# 1801250410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801250410 |
| Entity Type | Individual |
| Full Name | NEIL REDDY |
| Practice Address |
71780 San Jacinto Dr Bldg I Rancho Mirage CA 92270-5516 |
| Practice Telephone | 7605683461 |
| Practice Fax Number | 7604236273 |
| Mailing Telephone | 7605683461 |
| Mailing Fax Number | 7604236273 |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2020-03-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
A140287 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
71780 SAN JACINTO DR BLDG I |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-5516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073705778 | Son Ha Yu | Surgery | 71780 San Jacinto Dr Bldg I, Rancho Mirage, CA 92270-5516 | 2007-08-16 |
| 1932695962 | Carmen Diana Villa | Registered Nurse | 71780 San Jacinto Dr Bldg I, Rancho Mirage, CA 92270-5516 | 2018-07-02 |
| 1124346697 | Trevor John Derderian | Surgery | 71780 San Jacinto Dr Bldg I, Rancho Mirage, CA 92270-5516 | 2010-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073705778 | Son Ha Yu | Surgery | 71780 San Jacinto Dr Bldg I, Rancho Mirage, CA 92270-5516 | 2007-08-16 |
| 1760463863 | Desert Medical Group-mirage Outpatient Center | Surgery | 71777 San Jacinto Dr, Rancho Mirage, CA 92270-4457 | 2005-11-07 |
| 1780040840 | John J. Lee, A Professional Corporation | Surgery | 71780 San Jacinto Dr, Bldg. I, Rancho Mirage, CA 92270-5516 | 2016-01-05 |
| 1821415142 | Desert Vein & Vascular Institute Professional Corporation | Surgery | 71780 San Jacinto Dr, Bldg. I, Rancho Mirage, CA 92270-5516 | 2014-03-25 |
| 1942622683 | Pushpinder Sivia M.d., A Professional Corporation | Surgery | 39000 Bob Hope Dr, Suite K108, Rancho Mirage, CA 92270-3221 | 2014-01-15 |
| 1033475751 | Alan E Williamson Md Inc | Surgery | 39300 Bob Hope Dr, Bannan Building, Suite 1101, Rancho Mirage, CA 92270-3203 | 2012-04-06 |
| 1902194335 | Son Ha Yu, M.d., Inc | Surgery | 39000 Bob Hope Dr, Suite K108, Rancho Mirage, CA 92270-3221 | 2011-07-19 |
| 1124346697 | Trevor John Derderian | Surgery | 71780 San Jacinto Dr Bldg I, Rancho Mirage, CA 92270-5516 | 2010-05-09 |
| 1619132719 | Pushpinder Singh Sivia | Surgery | 71780 San Jacinto Dr, Building I, Rancho Mirage, CA 92270-5516 | 2008-07-28 |
| 1487670220 | Alan E. Williamson | Surgery | 39300 Bob Hope Dr, Bannan 1101, Rancho Mirage, CA 92270-3203 | 2006-07-14 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
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| 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.