ARCHANA M REDDY MD
NPI 1053997742
Family Medicine in Los Angeles, CA
About Archana M Reddy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ARCHANA M REDDY MD (NPI 1053997742) is an individual family medicine provider in Los Angeles, California, licensed in California (A191979) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Ana, and is a graduate of Un Of California, Riverside, School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Archana M Reddy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Archana Reddy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Los Angeles, CA 90095
- Reassigned Medicare billing, California enrollment
- 1,766 clinicians in this Medicare group
Orange, CA 92868
- Reassigned Medicare billing, California enrollment
- 75 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90049 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Archana Reddy's NPI number?
The NPI number for Archana Reddy is 1053997742. It was assigned to this individual provider in the NPPES registry on March 22, 2021.
Where is Archana Reddy located?
Archana Reddy practices at 11980 San Vicente Blvd Suite 102, Los Angeles, CA 90049. The listed phone number is (310) 208-7777.
What is Archana Reddy's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Archana Reddy enrolled in Medicare?
Yes. Archana Reddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Archana Reddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Archana Reddy reassigns Medicare benefits to 2 organizations: The Regents Of The University Of California (Los Angeles, CA) and Regents Of The University Of California (Orange, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Archana Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Archana Reddy was last updated on October 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Archana M Reddy, MD · NPI 1053997742
Family Medicine physician in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 22, 2021.
## Identity
- **NPI:** 1053997742 (Entity type: Individual)
- **Enumerated:** March 22, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** A191979 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11980 SAN VICENTE BLVD, SUITE 102, Los Angeles, CA 90049-5012
- **Phone:** (310) 208-7777 · **Fax:** (310) 445-8709
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): The Regents Of The University Of California (NPI 1235107566, Los Angeles, CA); Regents Of The University Of California (NPI 1679521850, Orange, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Un Of California, Riverside, School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** October 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053997742) · Data from the CMS NPPES public registry.