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DR. RAVITA REDDY M.D.
NPI 1225122039
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fontana, CA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
VISTA CLINIC 17053 E FOOTHILL BLVD, FONTANA, CA 92335(909) 347-1300 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 5, 2026, May 30, 2025, Jul 10, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Ravita Reddy M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAVITA REDDY M.D. (NPI 1225122039) is an individual child & adolescent psychiatry provider in Fontana, California, licensed in California (A85458) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania State University College Of Medicine (2003).

NPPES Registry Identity

NPI1225122039
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. RAVITA REDDYCredential: M.D.
Location AddressVISTA CLINIC 17053 E FOOTHILL BLVDFontana, CA 92335
Mailing AddressPo Box 54252Irvine, CA 92619-4252 · (949) 413-0753
Phone(909) 347-1300
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 2003
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 5, 20264 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1225122039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A85458
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
VISTA CLINIC 17053 E FOOTHILL BLVD, Fontana, CA 92335
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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

Dr. Ravita Reddy M.d. 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.

PECOS PAC ID1951598945
PECOS Enrollment IDI20101202000913
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Ravita Reddy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
39 mi
Psychiatry
333 CORPORATE DR STE 260
Ladera Ranch, CA 92694
  • Reassigned Medicare billing, California enrollment
  • 17 clinicians in this Medicare group
NPI 1902014780 (949) 768-2988
Ehab Yacoub MD Inc.
53 mi
Child & Adolescent Psychiatry
1225 W 190TH ST STE 280
Gardena, CA 90248
  • Reassigned Medicare billing, California enrollment
  • 375 clinicians in this Medicare group
NPI 1417373713 (310) 515-8113
Carbon Medical Center Multispecialty Group Inc
84 mi
Internal Medicine
9855 ERMA RD STE 133
San Diego, CA 92131
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Carbon Medical Center
  • 24 clinicians in this Medicare group
NPI 1609678226 (760) 656-5523
Datnguyen MD Inc
84 mi
Internal Medicine
9855 ERMA RD STE 133
San Diego, CA 92131
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Datnguyen, M.D., Inc.
  • 42 clinicians in this Medicare group
NPI 1215977723 (760) 656-5523

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ravita Reddy's NPI number?

The NPI number for Ravita Reddy is 1225122039. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Ravita Reddy located?

Ravita Reddy practices at Vista Clinic 17053 E Foothill Blvd, Fontana, CA 92335. The listed phone number is (909) 347-1300.

What is Ravita Reddy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Ravita Reddy enrolled in Medicare?

Yes. Ravita 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 Ravita Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ravita Reddy reassigns Medicare benefits to 4 organizations: (Ladera Ranch, CA), Ehab Yacoub MD Inc. (Gardena, CA), Carbon Medical Center Multispecialty Group Inc (San Diego, CA) and Datnguyen MD Inc (San Diego, 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 Ravita 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 Ravita Reddy was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.