Sudin Vittal MD Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A25286 Issued in CA

Legal business name

SUDIN VITTAL MD INC

Practice address

150 N Jackson Avenue
Suite 107
San Jose, CA 95116-1908

Phone

(408) 926-2182

Fax

(408) 926-8370

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sudin Vittal, MD

Title

President

Phone

(408) 926-2182

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366520645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N JACKSON AVENUE",
            "address_2": "SUITE 107",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161908",
            "telephone_number": "408-926-2182",
            "fax_number": "408-926-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N JACKSON AVENUE",
            "address_2": "SUITE 107",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161908",
            "telephone_number": "408-926-2182",
            "fax_number": "408-926-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDIN VITTAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VITTAL",
        "authorized_official_first_name": "SUDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-926-2182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A25286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A252860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Success Groups Inc
• Lakshmy Sudeep, DDS
• Sudha Karupaiah MD PC
• Hemali A. Sudhalkar, MD
• Sudin Vittal MD Endoscopy Center Inc
• Diane Yan Suen
• Patrick W. Suen, MD
• Regina Sueoka, MFT
• David Suezaki, DMD
• Katherine Thinh Suezaki, D.M.D.

• Gastroenterology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.