DIVAKAR KRISHNAREDDY MD INC (NPI# 1831324334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831324334 |
| Entity Type | Organization |
| Organization Name | DIVAKAR KRISHNAREDDY MD INC |
| Practice Address |
120 S Montebello Blvd Montebello CA 90640-4730 |
| Practice Telephone | 6614359049 |
| Practice Fax Number | 3234433601 |
| Mailing Telephone | 6614359049 |
| Mailing Fax Number | 3234433601 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2011-02-07 |
| Authorized Official Name | DIVAKAR KRISHNAREDDY (PRESIDENT) |
| Authorized Official Telephone | 6614359049 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | A35665 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PERSONAL NPI | 1871538710 | 01 |
| Street Address |
120 S MONTEBELLO BLVD |
| City | MONTEBELLO |
| State | CA |
| Zip Code | 90640-4730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568415255 | Julio Lemus, M.d.inc., A Medical Corporation | Obstetrics & Gynecology | 120 S Montebello Blvd, Montebello, CA 90640-4730 | 2006-05-17 |
| 1699199281 | Rita Kapoor | Internal Medicine | 120 S Montebello Blvd, Montebello, CA 90640 | 2014-02-18 |
| 1114365210 | Yacoub Medical Inc. | Non-Pharmacy Dispensing Site | 120 S Montebello Blvd, Montebello, CA 90640-4730 | 2013-06-11 |
| 1871862607 | Los Angeles Vascular Services, Inc | Surgery | 120 S Montebello Blvd, Suite C, Montebello, CA 90640-4730 | 2011-12-22 |
| 1154508497 | Yacoub Medical, Inc. | Clinical Medical Laboratory | 120 S Montebello Blvd, Montebello, CA 90640-4730 | 2008-01-29 |
| 1477698512 | Yacoub Medical, Inc. | General Practice | 120 S Montebello Blvd, Montebello, CA 90640-4730 | 2007-02-20 |
| 1427137439 | Soroosh Armandi | Internal Medicine | 120 S Montebello Blvd, Montebello, CA 90640-4730 | 2006-11-02 |
| 1851472575 | Marc A. Stretten | Family Medicine | 120 S Montebello Blvd, Montebello, CA 90640-4730 | 2006-10-18 |
| 1225138498 | Gustavo Adolfo Torres-cifuentes | Surgery | 120 S Montebello Blvd, Montebello, CA 90640-4730 | 2006-09-25 |
| 1154342269 | Ebrahim Sajedi | Internal Medicine | 120 S Montebello Blvd, Montebello, CA 90640-4730 | 2006-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242901 | Marie-christine Wiltord | Marriage & Family Therapist | 1447 W. Beverly Blvd., Montebello, CA 90640 | 2020-07-08 |
| 1366093668 | Ana Lesly Tavira-nava | Student in an Organized Health Care Education/Training Program | 3316 W. Beverly Blvd., Montebello, CA 90640 | 2019-09-27 |
| 1952803256 | America Alaniz | Marriage & Family Therapist | 3524 1/4 W. Beverly Blvd., Montebello, CA 90640 | 2018-03-02 |
| 1669987913 | Tender Loving Hospice Care, Inc. | Hospice Care, Community Based | 3528 W Beverly Blvd, Suite D, Montebello, CA 90640 | 2017-12-08 |
| 1518472869 | Healing Angels Nursing Services, Inc. | Home Health | 3538 W Beverly Blvd, Suite C, Montebello, CA 90640 | 2017-12-08 |
| 1427579143 | Paul Gonzales | Specialist/Technologist | 1525 Via Palermo, Montebello, CA 90640 | 2017-07-03 |
| 1942720859 | Rachel Lu | Pharmacist | 800 W. Whittier Blvd., Montebello, CA 90640 | 2017-06-21 |
| 1194254508 | Jill Tanigawa | Pharmacist | 2525 W Via Campo, Montebello, CA 90640 | 2017-06-08 |
| 1619406121 | Nutrition Care Consulting | Dietitian, Registered | 2605 Beverly Blvd, Montebello, CA 90640 | 2017-06-08 |
| 1992165815 | Hope Artificial Limb & Brace,llc | Prosthetic/Orthotic Supplier | 2609 W. Beverly Blvd #3, Montebello, CA 90640 | 2016-03-04 |
| Find all providers in zip 90640 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
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| 1982215992 | Roshan T Melvani Md Inc | Orthopaedic Surgery | 12677 Hesperia Rd Ste 140, Victorville, CA 92395-7735 | 2020-08-13 |
| 1164033684 | First Care Multispecialty Medical Group, Inc. | Orthopaedic Surgery | 4401 Atlantic Ave Ste 480, Long Beach, CA 90807-2265 | 2020-08-10 |
| 1194343855 | Orthopaedic Group of Orange County | Orthopaedic Surgery | 1200 N Tustin Ave Ste 250, Santa Ana, CA 92705-3596 | 2020-07-09 |
| 1497372536 | Kaley Brown Surgical Pa | Orthopaedic Surgery | 360 Tom Mcguinness Jr Cir, Fallbrook, CA 92028-2623 | 2020-07-05 |
| 1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
| 1982227609 | Sun Medical Group Huntington, Inc | Orthopaedic Surgery | 7801 Center Ave Ste 203, Huntington Beach, CA 92647-9118 | 2020-05-28 |
| 1932722733 | Julian Hakim Baloyan | Orthopaedic Surgery | 333 H St Ste 5000503, Chula Vista, CA 91910-5555 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | MONTEBELLO |
| Zip Code | 90640 |
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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.