Central Coast Gastroenterology Associates Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

CENTRAL COAST GASTROENTEROLOGY ASSOCIATES INC

Practice address

3121 Park Ave Ste D
Soquel, CA 95073-2956

Phone

(831) 260-3591

Fax

(800) 785-5318

NPI assigned

Jun 16, 2025

Last updated

Mar 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vijaya Mukthinuthalapati, MDNPI 1164874855

Title

President/Ceo

Phone

(831) 800-7887

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vijaya Mukthinuthalapati, MD

  • Gastroenterology Physician
  • Santa Cruz, CA
  • NPI 1164874855
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1326934332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PASATIEMPO DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601807",
            "telephone_number": "831-800-7887",
            "fax_number": "831-998-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 PARK AVE STE D",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732956",
            "telephone_number": "831-260-3591",
            "fax_number": "800-785-5318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416B Main St",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939013306",
            "country_code": "US",
            "telephone_number": "831-800-7887",
            "fax_number": "831-998-7155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14911 National Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950322632",
            "country_code": "US",
            "telephone_number": "831-260-3591",
            "fax_number": "800-785-5318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL COAST GASTROENTEROLOGY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-16",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "MUKTHINUTHALAPATI",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "831-800-7887",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric R Carlblom, M.D.
• Michelle Katsky Caron
• Katelyn Carson, CMT
• Eileen Wheeler Cavalier, LMFT
• Center for Youth Mental Health (Center for Child and Adolescent Mental Health)
• Vasavi Reddy Chinnam, DDS
• Jennifer J Choate, MD
• Paul Frederick Clayman, MD
• Daniel Earl Colfer, DC
• Kevin Patrick Comartin, PSYD

• Gastroenterology Physician in Soquel, CA
• Providers in Soquel, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.