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Bailey V Sudindra Vittal, MD

Gastroenterology · San Jose

NPI 1477594604

Medicare standing
2 flags on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer
  • California licence: Delinquent

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Vittal’s office at (408) 926-2182 to ask if they take your plan before you enroll.

California Medical Board record

Licence A25286 · Delinquent

Licence status: Delinquent · since 1973 · expires 2022-04-30 · Mysore University, Mysore Medical College.

License renewal fee has not been paid. No practice is permitted.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Surgery centers they own

  • Sudin Vittal, MD, Inc. Endoscopy CenterOffice-Based Surgery Center · San Jose, CA100% owner since 1988 · accredited by IMQ
    Accreditation Renewed3 inspections, 1 with deficiencies · last 2016-10-06: Requirements Met

Professional record

NPI
1477594604
Licence
CA A25286California A25286: Delinquent · expires 2022-04-30
More record details
Sole proprietor
No
Medicaid ID
CA 00A252860
Taxonomy
Federal specialty code 207RG0100X (207RG0100X)
Mailing address
150 N Jackson Avenue, Suite 107, San Jose, CA, 95116
NPI first listed
2006-06-09
NPI last updated
2026-07-13

This is when the NPI record was last certified, not a medical board exam.