EPISOURCE LLC
NPI 1225390289
Nurse Practitioner in Gardena, CA
About Episource Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EPISOURCE LLC (NPI 1225390289) is a healthcare organization registered as a nurse practitioner in Gardena, California and active in the NPI registry since June 2012. The organization lists Sishir Reddy, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Episource Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Episource LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (6)
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 Episource LLC's NPI number?
The NPI number for Episource LLC is 1225390289. It was assigned to this organization in the NPPES registry on June 14, 2012.
Where is Episource LLC located?
Episource LLC is located at 500 W 190th St 4th Floor, Gardena, CA 90248. The listed phone number is (714) 452-1961.
What is Episource LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Episource LLC enrolled in Medicare?
Yes. Episource LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Episource LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Episource LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Episource LLC was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Episource Llc · NPI 1225390289
Nurse Practitioner organization in Gardena, California. Organization record, active in the CMS NPPES registry since June 14, 2012.
## Identity
- **NPI:** 1225390289 (Entity type: Organization)
- **Enumerated:** June 14, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Organization subpart:** No
- **Authorized official:** Sishir Reddy, CEO
## Practice location
- **Address:** 500 W 190TH ST, 4TH FLOOR, Gardena, CA 90248-4268
- **Phone:** (714) 452-1961 · **Fax:** (714) 452-1966
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225390289) · Data from the CMS NPPES public registry.