Surya, a Medical Corporation

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A51136 Issued in CA

Legal business name

SURYA, A MEDICAL CORPORATION

Practice address

3330 3Rd Ave Ste 304
San Diego, CA 92103-5639

Phone

(619) 260-1012

Fax

(619) 260-1532

NPI assigned

Dec 11, 2008

Organization subpart

No

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

Authorized official

Name

Vijayalakshmi S PrathaNPI 1992892707

Title

President

Phone

(619) 260-1012

Specialties & licenses 1

Addresses

Other names 1

• VIJAYA PRATHA M.D. Doing business as

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.

• Vijayalakshmi S Pratha, MD

  • Gastroenterology Physician
  • San Diego, CA
  • NPI 1992892707
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1386889889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE STE 304",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-260-1012",
            "fax_number": "619-260-1532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 3RD AVE STE 304",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035639",
            "telephone_number": "619-260-1012",
            "fax_number": "619-260-1532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURYA, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "PRATHA",
        "authorized_official_first_name": "VIJAYALAKSHMI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-260-1012"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A51136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIJAYA PRATHA M.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VIJAYA PRATHA M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.