DR. DAVID LEROY REDDING (DO) – Sports Medicine (Neuromusculoskeletal Medicine) Physician, NPI 1215050299

DR. DAVID LEROY REDDING (DO) is a healthcare provider. based in Pomona, California. specializing in OSTEOPATHIC MANIPULATIVE MEDICINE. They hold the professional credentials DO. They hold a License No. 20A6636 (CA). The NPI Number for DR. DAVID LEROY REDDING (DO) is 1215050299

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID LEROY REDDING (DO)
NPI
1215050299
Phone
(909) 865-2565
Address
795 E SECOND STREET
Enumeration Date
6 April 2007
Last Update Date
15 June 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
9032379672
Group Practice PAC ID
0648208991
Professional Enrollment ID
I20120320000098
Address ID
CA917662007Po795XXSTXX405
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

300 OSTEOPATHIC MANIPULATIVE MEDICINE in CA

Provider Addresses for DR. DAVID LEROY REDDING (DO)

  • 795 E SECOND STREET

    SUITE 5

    POMONA, CA 917662007

    Phone: (909) 865-2565

    Fax: (909) 865-2955

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-03-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120320000098IOsteopathic Manipulative MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91766)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648208991View full group profile
NameSpecialtyState
O P T O M E T R YCA
Family PracticeCA
-CA
-CA
O P T O M E T R YCA
O P T O M E T R YCA
O P T O M E T R YCA
Psychiatry, Geriatric Psychiatry, NeuropsychiatryCA
Osteopathic Manipulative MedicineCA
P O D I A T R YCA

Reviews

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Frequently asked questions

Is DR. DAVID LEROY REDDING (DO) listed with a National Provider Identifier?
Yes — DR. DAVID LEROY REDDING (DO) has NPI 1215050299 on file in the registry.
Is there an active status for DR. DAVID LEROY REDDING (DO)?
For scheduling context, DR. DAVID LEROY REDDING (DO) is shown as active in the registry.
What expertise is attributed to DR. DAVID LEROY REDDING (DO)?
DR. DAVID LEROY REDDING (DO)'s specialty line reads Sports Medicine (Neuromusculoskeletal Medicine) Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. DAVID LEROY REDDING (DO)?
Directory geography for DR. DAVID LEROY REDDING (DO) centers on Pomona, California.
Can I trust this NPI listing for DR. DAVID LEROY REDDING (DO)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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