Vijay Chandrudu Katukota, M.D;F.A.C.O.G

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A38343 Issued in CA

Practice address

1177 N Park Ave
Pomona, CA 91768-3028

Phone

(909) 623-9900

Fax

(909) 623-1993

NPI assigned

Jun 1, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pomona Valley Hospital Medical Center

  • General Acute Care Hospital
  • Pomona, CA
  • NPI 1518067586
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395964800000",
    "number": "1013954825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683028",
            "telephone_number": "909-623-9900",
            "fax_number": "909-623-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 N PARK AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683028",
            "telephone_number": "909-623-9900",
            "fax_number": "909-623-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATUKOTA",
        "first_name": "VIJAY",
        "middle_name": "CHANDRUDU",
        "credential": "M.D;F.A.C.O.G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2014-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A38343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A383430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katee Quach OD Inc
• Darcie Katnik, NP
• Emmanuel P Katsaros, D.O.
• Meriam Kattee
• Nahla Kattih
• Jessica Lynn Kauffman
• Rabina Kaur
• Sabrina Kaur
• Sukhjit Kaur, PHARM.D
• Sandeep Kaur Kaushal, M.D.

• Obstetrics & Gynecology Physician in Pomona, CA
• Providers in Pomona, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.