Episource LLC
NPI 1225390289 · Nurse Practitioner · Gardena, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Episource LLC is a Nurse Practitioner organization in Gardena, CA (NPI 1225390289).
Provider details
- NPI number
- 1225390289
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Sishir Reddy, Ceo(714) 452-1962
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-14
- Last updated
- 2023-02-07
- Certified
- 2023-02-07
Frequently asked questions
- What is Episource LLC's NPI number?
- Episource LLC's National Provider Identifier (NPI) is 1225390289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Episource LLC?
- Episource LLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Episource LLC located?
- Episource LLC's practice location on file with NPPES is 500 W 190th St, Gardena, CA 90248-4268.
- What is Episource LLC's phone number?
- The practice phone number listed in the NPPES registry for Episource LLC is (714) 452-1961.
- Does Episource LLC accept Medicare?
- Episource LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Episource LLC?
- The authorized official listed on Episource LLC's NPPES record is Sishir Reddy, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Episource LLC's NPI active?
- Yes — Episource LLC's NPI (1225390289) is active in the NPPES registry as of the last update on 2023-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.