DR. SRINIVAS PEDDI (NPI# 1003024191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003024191 |
| Entity Type | Individual |
| Full Name | DR. SRINIVAS PEDDI |
| Credential | MD |
| Practice Address |
23929 Mcbean Pkwy Valencia CA 91355-4466 |
| Mailing Address |
20 Executive Park Ste 155 Irvine CA 92614-4733 |
| Practice Telephone | 3235493030 |
| Practice Fax Number | 3235493049 |
| Mailing Telephone | 9492638620 |
| Mailing Fax Number | 8004097005 |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2012-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A118625 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2011005782 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1003024191 | 05 | |
| CA | BLUE SHIELD OF CALIFORNIA | 00A1186250 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386930550 | Srinivas Peddi | Pharmacist | 4671 Richmond Rd, Warsaw, VA 22572-3137 | 2011-06-25 |
| Street Address |
23929 MCBEAN PKWY |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-4466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699768259 | Robert M Horth | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2005-08-29 |
| 1619216132 | Tower Imaging Medical Centers, Inc. | Radiology | 23929 Mcbean Pkwy, Building F - Suite 109, Valencia, CA 91355-4466 | 2013-02-04 |
| 1669711354 | Gregory M Senofsky Md Inc | Surgery | 23929 Mcbean Pkwy, 110, Valencia, CA 91355-4466 | 2013-01-31 |
| 1588891865 | Ucla Hematology and Oncology, Santa Clarita | Internal Medicine | 23929 Mcbean Pkwy, Bldg. F., Suite 215, Valencia, CA 91355-4466 | 2009-06-15 |
| 1386808624 | Daniel Itzhak Brison | Urology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2008-07-16 |
| 1689865016 | Cardiovascular Consultants Medical Group | Internal Medicine | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2007-08-09 |
| 1609067040 | Kamyar Amini | Otolaryngology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2007-08-08 |
| 1194928770 | Joshua Daniel Hanelin | Radiology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2007-06-08 |
| 1710196910 | Nu T. Lu | Internal Medicine | 23929 Mcbean Pkwy, 215, Valencia, CA 91355-4466 | 2007-05-22 |
| 1063563237 | Angelo Soriano | Nurse Practitioner | 23929 Mcbean Pkwy, Suite 216, Valencia, CA 91355-4466 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194764779 | Samuel Moses | Radiology | 26859 Pine Hollow Ct, Valencia, CA 91381-0615 | 2006-06-06 |
| 1194928770 | Joshua Daniel Hanelin | Radiology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2007-06-08 |
| 1326123951 | Alexander Grimm | Radiology | 23845 Mcbean Pkwy, Radiology Department, Valencia, CA 91355-2001 | 2006-10-25 |
| 1508811803 | Rolf Arndt | Radiology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2006-05-24 |
| 1699720920 | Louis Adler | Radiology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2006-05-24 |
| 1780638262 | Matthew I Charms | Radiology | 23929 Mcbean Pkwy, Valencia, CA 91355-4466 | 2006-05-20 |
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|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
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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.