MS. PRIYA REDDY NP
NPI 1700435211
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since September 06, 2019PECOS EnrolledAccepts Medicare Assignment
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 280-4213 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 16, 2023, May 15, 2022, Sep 6, 2019 (3 updates tracked since 2019).

About Ms. Priya Reddy Np NPPES

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

MS. PRIYA REDDY NP (NPI 1700435211) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95020387) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700435211
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. PRIYA REDDYCredential: NP
Location Address4060 FAIRMOUNT AVESan Diego, CA 92105-1608
Mailing Address3941 Shirlene PlLa Mesa, CA 91941-7431 · (512) 703-7624
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 6, 2019
Last NPPES UpdateOctober 20, 20253 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
NPI 1700435211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95020387
Also ListedRegistered Nurse · Women's Health Care, AmbulatoryTaxonomy 163WW0101X · License 95198942 (CA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95020387 (CA)
4060 FAIRMOUNT AVE, San Diego, CA 92105

Secondary Practice Locations 3

Location 1502 Euclid Ave Ste 304National City, CA 91950-8900 · Phone (619) 477-0084
Location 21075 Camino Del Rio SSan Diego, CA 92108-3538 · Phone (619) 881-4636
Location 3450 Fourth Ave Ste 301Chula Vista, CA 91910-4429 · Phone (619) 271-7824

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Priya Reddy Np 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 ID1951752500
PECOS Enrollment IDI20240108004079
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Optometrist
4060 FAIRMOUNT AVE, OPTOMETRY DEPARTMENT
SAN DIEGO, CA 92105
Counselor (Mental Health)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Pharmacist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Student in an Organized Health Care Education/Training Program
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Internal Medicine
4060 FAIRMOUNT AVE, FAMILY PRACTICE
SAN DIEGO, CA 92105
Psychologist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Social Worker (Clinical)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
Pediatrics
4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENT
SAN DIEGO, CA 92105

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 Priya Reddy's NPI number?

The NPI number for Priya Reddy is 1700435211. It was assigned to this individual provider in the NPPES registry on September 6, 2019.

Where is Priya Reddy located?

Priya Reddy practices at 4060 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 280-4213.

What is Priya Reddy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Priya Reddy enrolled in Medicare?

Yes. Priya 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.

When was this NPI record last updated?

The NPPES record for Priya Reddy was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.