Individual provider Active NPI

Vijayalakshmi S Pratha, MD

  • Gastroenterology Physician
  • San Diego, CA
National Provider Identifier
1992892707
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A51136 Issued in CA
Practice address
3330 3Rd Ave Ste 304
San Diego, CA 92103-5639
Phone
(619) 260-1012
Fax
(619) 260-1727
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A51136 CA Primary

Addresses

Primary practice location

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

Mailing address

3330 3Rd Ave Ste 304
San Diego, CA 92103-5639
Phone (619) 260-1012

Other identifiers 1

IdentifierTypeStateIssuer
00A511361MedicaidCA

Other names 1

  • Vijaya S Pratha Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051201001052 CA Practitioner - Gastroenterology 6103846365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
On Call Specialists Medical Group of San Diego IncGroup PAC ID 7911395231, 145 clinicians

Practice addresses (Care Compare)

3330 3Rd Ave
Suite 304
San Diego, CA 92103-5639
Phone (619) 260-1012

4077 5TH Ave
San Diego, CA 92103-2105
Phone (619) 359-6600

Hospital & facility affiliations

  • Scripps Mercy Hospital Hospital, San Diego, CA, CCN 050077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy22
Upper gastrointestinal (GI) endoscopy for acid reflux20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51136CAMDDentist
A51136CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Surya, a Medical Corporation Gastroenterology CurrentSince Oct 1, 2003 Accepting new patients
On Call Specialists Medical Group of San Diego, Inc. CurrentSince Aug 29, 2023 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 28, 2010 Accepting new patients
Scripps Health Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

3330 3rd Ave
Ste 303
San Diego, CA 92103

3330 3rd Ave
Ste 304
San Diego, CA 92103
Phone (619) 260-1012

650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040

Interoperability endpoints

  • Direct secure messaging: vpratha31474@scrippshlth.medalliesdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1992892707",
    "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": "619-260-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATHA",
        "first_name": "VIJAYALAKSHMI",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A51136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A511361",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIJAYA",
            "last_name": "PRATHA",
            "middle_name": "S",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.