Spine & Nerve Diagnostic Center
NPI 1144628504ActiveOrganization· Physical Medicine & Rehabilitation· Roseville, CA
Physical Medicine & Rehabilitation in Roseville, California, registered in NPPES in December 2014. The authorized official on file is Vinay Moola Reddy, M.D., Md/President. Enrolled in Medicare as dme supplier - multi-specialty - physician and part b supplier - clinic/group practice.
Overview
| NPI | 1144628504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2014 |
| Last updated in NPPES | Jun 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation Primary | 208100000X | 00A63460 | CA |
| Electrodiagnostic Medicine | 204R00000X | 00A63460 | CA |
| Physical Medicine & Rehabilitation | 208100000X | 00A83749 | CA |
| Pain Medicine, Pain Medicine | 208VP0000X | 00A83749 | CA |
| Pain Medicine, Interventional Pain Medicine | 208VP0014X | 00A63460 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Multi-Specialty - Physician (CA); Part B Supplier - Clinic/Group Practice (CA) |
|---|
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