Sudin Vittal MD Endoscopy Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SUDIN VITTAL MD ENDOSCOPY CENTER 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, M.D.

Title

Owner

Phone

(408) 926-2182

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1982782231",
    "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 ENDOSCOPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "VITTAL",
        "authorized_official_first_name": "SUDIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-926-2182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A252860",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A252860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• Ambulatory Surgical Clinic/Center in San Jose, CA
• Providers in San Jose, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.