South Bay Gi Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A95303 Issued in CA

Legal business name

SOUTH BAY GI INC

Practice address

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

Phone

(408) 926-2182

Fax

(408) 926-8370

NPI assigned

Sep 18, 2010

Last updated

Feb 19, 2011By 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

Dr. Harsha Vittal, MDNPI 1245308931

Title

President

Phone

(408) 926-2182

Specialties & licenses 1

Addresses

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.

• Harsha Vittal, MD

  • Gastroenterology Physician
  • San Jose, CA
  • NPI 1245308931
  Authorized official Same address or phone

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

{
    "created_epoch": "1284768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298073600000",
    "number": "1629386198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N JACKSON AVE",
            "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 AVE",
            "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": "SOUTH BAY GI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-18",
        "last_updated": "2011-02-19",
        "status": "A",
        "authorized_official_last_name": "VITTAL",
        "authorized_official_first_name": "HARSHA",
        "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": "A95303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Brain and Spine
• South Bay Cardiology
• South Bay Cardiovascular Medical Group, Inc
• South Bay Community Counseling Center
• South Bay Endoscopy Center a Medical Corporation
• South Bay Home Health Care, LLC
• South Bay House-Call Doctor
• South Bay Housecall Doctor Inc
• South Bay Medical Clinic of San Jose
• South Bay Nephrology Associates, PC

• 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 Feb 19, 2011; 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.