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SUDATHI JEEREDDI MD
NPI 1609844984
Family Medicine in Pomona, CA

Active since March 10, 2006
790 EAST BONITA AVE, 2ND FLOOR, POMONA, CA 91767(909) 447-8585(909) 447-8593 Get Directions Write a Review

NPPES record last updated: May 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sudathi Jeereddi Md NPPES

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

SUDATHI JEEREDDI MD (NPI 1609844984) is an individual family medicine provider in Pomona, California, licensed in California (A32264) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1609844984
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUDATHI JEEREDDICredential: MD
Location Address790 EAST BONITA AVE, 2ND FLOORPomona, CA 91767-1906
Mailing Address840 Towne Center Dr, Chaparral Medical GroupPomona, CA 91767-5900 · (909) 398-1550 · Fax (909) 398-1573
Phone(909) 447-8585
Fax(909) 447-8593
Sole ProprietorNo
Enumeration DateMarch 10, 2006
Last NPPES UpdateMay 6, 2011
✔ NPI 1609844984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A32264
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
790 EAST BONITA AVE, Pomona, CA 91767
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Other Identifiers 7

Medicare PINWA32264GCA
Medicare PINWA32264ACA
Medicare PIN00A322641CA
Medicare PIN080159558CA
Medicare UPINB50194CA
Medicaid00A322640CA
Medicare PIN080041661CA

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA CARRIE BUTLER
Internal Medicine
790 EAST BONITA AVE, 2ND FLOOR
POMONA, CA 91767
Los Angeles County (909) 447-8585
ROGER DWAIN HALL DO
Family Medicine
790 EAST BONITA AVE, 2ND FLOOR
POMONA, CA 91767
Los Angeles County (909) 447-8585
REDEMPTION GALANG GERONIMO MD
Internal Medicine
790 EAST BONITA AVE, 2ND FLOOR
POMONA, CA 91767
Los Angeles County (909) 447-8585
CHAPARRAL MEDICAL GROUP INC
Family Medicine
790 EAST BONITA AVE, CHAPARRAL MEDICAL GROUP
POMONA, CA 91767
Los Angeles County (909) 447-8585
MIRIAM LILIANA SCHMIDT-VILLANUEVA MD
Pediatrics
790 EAST BONITA AVE, 2ND FLOOR
POMONA, CA 91767
Los Angeles County (909) 447-8585
MERCEDES BORRAYO
Counselor (Mental Health)
790 EAST BONITA AVE
POMONA, CA 91767
Los Angeles County (626) 833-0383
GEETA JAYANTILAL PATWA MD
Internal Medicine
790 EAST BONITA AVE, 2ND FLOOR
POMONA, CA 91767
Los Angeles County (909) 447-8585

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 Sudathi Jeereddi's NPI number?

The NPI number for Sudathi Jeereddi is 1609844984. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Sudathi Jeereddi located?

Sudathi Jeereddi practices at 790 East Bonita Ave 2nd Floor, Pomona, CA 91767. The listed phone number is (909) 447-8585.

What is Sudathi Jeereddi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Sudathi Jeereddi was last updated on May 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.