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

Mr. Mohan Ettyreddy, MD

Individual provider Anesthesiology Physician · NPI 1407807100

Mr. Mohan Ettyreddy, MD is an Anesthesiology in Porterville, California. Qualified in 1985, 41 years ago. Practices with Southwest Ohio Anesthesia Consultants LLC, a 366-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
41
Licensed in
CA
In the registry since
2006
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

465 W Putnam
Porterville, CA 93257
Phone: (559) 784-1110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence A82879 (CA)

Record details

NPI number1407807100
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 15, 2006
Last updated in NPPESJuly 13, 2026
Mailing addressPo Box 7096, Stockton, CA 95267

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Southwest Ohio Anesthesia Consultants Llc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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