# SPINE & NERVE DIAGNOSTIC CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPINE & NERVE DIAGNOSTIC CENTER
- **Other names:** Spine & Nerve Diagnostic Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1467016303
- **Legal business name:** SPINE & NERVE DIAGNOSTIC CENTER
- **Authorized official:** VINAY MOOLA REDDY (PRESIDENT AND CEO)
- **Authorized official phone:** (916) 772-5325

## Contact information

- **Practice address:** 635 ANDERSON RD STE 15, DAVIS, CA 95616-3505
- **Practice address phone:** (916) 772-5325
- **Practice address fax:** (916) 772-6333
- **Mailing address:** 1528 EUREKA RD STE 103, ROSEVILLE, CA 95661-3047
- **Mailing address phone:** (916) 772-5325
- **Mailing address fax:** (916) 772-6333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2019
- **Last updated:** 06/11/2019