Vijaya K. Katukota, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A38220 Issued in CA

Practice address

975 Saint John PL
Ste a
Hemet, CA 92543-4428

Phone

(323) 550-1920

NPI assigned

Nov 5, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Bakersfield Emergency Medical Corp.

  • Emergency Medicine Physician
  • Bakersfield, CA
  • NPI 1578633137
  NPD (past)
• East Los Angeles Clinica Medica General Medical Center Inc

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1053368530
  NPD (past)
• Evexia Health Services, LLC

  • Methadone Clinic
  • Moreno Valley, CA
  • NPI 1760256069
  NPD (past)
• Evexia Health Services, LLC.

  • Methadone Clinic
  • Corona, CA
  • NPI 1720545742
  NPD (past)
• Evexia Health Services, LLC.

  • Methadone Clinic
  • Hemet, CA
  • NPI 1851800197
  NPD (past)

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1225218522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 JURUPA ST",
            "address_2": "STE 117",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917611430",
            "telephone_number": "323-550-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 SAINT JOHN PL",
            "address_2": "STE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434428",
            "telephone_number": "323-550-1920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925434335",
            "country_code": "US",
            "telephone_number": "951-391-1470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 E 11th St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928792157",
            "country_code": "US",
            "telephone_number": "951-427-3482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KATUKOTA",
        "first_name": "VIJAYA",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A38220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "A38220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamran Qureshi MD Inc
• Buk Kang
• Ezekiel Kang
• Ojus Kishor Karia, MD
• Sultanali A Kassamali, M.D.
• Dilpreet Kaur
• Gagan Kaur
• Parvinder Kaur, MD
• Kay a Erdmann MD Inc
• James A. Keating, MD

• Internal Medicine Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.