Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Veena Mysore, MD

Individual provider Family Medicine Physician · NPI 1053318089

Dr. Veena Mysore, MD is a Family Practice in Redlands, California. Qualified in 1997, 29 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, District of Columbia, Maryland and Virginia.

Years since qualifying
29
Licensed in
CA, DC, MD, VA
In the registry since
2005
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

25828 Redlands Blvd Ste 102
Redlands, CA 92373-8451
Phone: (909) 558-6600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A74628 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD038413 (DC)
Family Medicine Physician Taxonomy 207Q00000X · Licence D63315 (MD)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0101246622 (VA)

Record details

NPI number1053318089
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2005
Last updated in NPPESMay 21, 2023
Certification dateMay 21, 2023
Mailing addressFile #54701, Los Angeles, CA 90074-4701

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Redlands