Sridhar K Reddy (NPI# 1780835447, PAC ID# 9234386665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1780835447 |
| PAC ID by PECOS | 9234386665 |
| Professional Enrollment ID | I20120820001122 |
| Full Name | Sridhar K Reddy |
| Organization Legal Name | SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC |
| Address |
100 E Valencia Mesa Dr Suite 110 Fullerton CA 92835-3816 |
| Phone Number | 7149925581 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2007 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 6103811286 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050168 | ST JUDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 100 E Valencia Mesa Dr, Suite 110, Fullerton, CA 92835-3816 | 7149925581 | SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | SOUTHERN CALIFORNIA KIDNEY CONSULTANTS INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry Yuan | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Asha R Ravikumar | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Steven Q Bui | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Harmanjit Singh | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Paul P Krasner | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Ramani Nathan | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Ashish H Kalthia | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Jennifer V Stoddard | Nurse Practitioner | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Michael E Arquilla | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Nausheen B Ali | Nephrology | Southern California Kidney Consultants Inc | 12665 Garden Grove Blvd, Suite 211, Garden Grove, CA 92843-1916 |
| Street Address |
100 E VALENCIA MESA DR SUITE 110 |
| City | FULLERTON |
| State | CA |
| Zip | 92835-3816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin James Perkins | Physician Assistant | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Kenneth K Tan | Family Medicine | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Erene M Nawar | Internal Medicine | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| James L Hardeman | Pulmonary Disease | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Jerry L Fralick | Pain Management | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 310, Fullerton, CA 92835-3800 |
| Richard E Lloyd | Hematology/oncology | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Monica K Martyn | Registered Dietitian Or Nutrition Professional | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Neha B Savalia | Internal Medicine | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Doreen M Rioux | Family Medicine | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Renee M Soderquist | Registered Dietitian Or Nutrition Professional | St Joseph Heritage Healthcare | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3816 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Dedes | Interventional Pain Management | 295 Imperial Hwy, Suite 100, Fullerton, CA 92835-1020 | |
| Alvaro O Liceaga | Interventional Pain Management | 295 Imperial Hwy 100, Fullerton, CA 92835-1020 | |
| Sara Said | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Stella R Vargas | Physical Therapy | 373 Imperial Hwy, Fullerton, CA 92835-1040 | |
| Johnson L Moon | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Priscilla P Armstrong | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Margaret M Slaven | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Manpreet Kaur Multani | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Eileen S Kang | Psychologist, Clinical | The Neurobehavioral Group, A Psychological Corporation | 385 Imperial Hwy, Fullerton, CA 92835-1040 |
| Kiran Bath | Neurology | Neurology Center of North Orange County A Medical Corp | 381 Imperial Hwy, Fullerton, CA 92835-1040 |
| Find all physicians in zip 92835 | |||
| City | FULLERTON |
| Zip Code | 92835 |
| Specialty | NEPHROLOGY |
| City + Specialty | FULLERTON + NEPHROLOGY |
Please comment or provide details below to improve the information on Sridhar K Reddy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.