VIJAY CHANDRUDU KATUKOTA M.D;F.A.C.O.G - NPI 1013954825 - Obstetrics & Gynecology in Pomona, CA

Q: What is Vijay Katukota's NPI number?

The NPI number for Vijay Katukota is 1013954825. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Q: What is Vijay Katukota's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Vijay Katukota was last updated on March 28, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Vijay Chandrudu Katukota M.d;f.a.c.o.g NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIJAY CHANDRUDU KATUKOTA M.D;F.A.C.O.G (NPI 1013954825) is an individual obstetrics & gynecology provider in Pomona, California, licensed in California (A38343) and active in the NPI registry since June 2006. He holds a CLIA Waiver certificate valid through March 25, 2027.

NPPES Registry Identity

NPI1013954825

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameVIJAY CHANDRUDU KATUKOTACredential: M.D;F.A.C.O.G

Location Address1177 N PARK AVEPomona, CA 91768-3028

Mailing Address1177 N Park AvePomona, CA 91768-3028 · (909) 623-9900 · Fax (909) 623-1993

Phone(909) 623-9900

Fax(909) 623-1993

Sole ProprietorYes

Enumeration DateJune 1, 2006

Last NPPES UpdateMarch 28, 2014

✔ NPI 1013954825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in CA · A38343

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1177 N PARK AVE, Pomona, CA 91768

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Other Identifiers 3

Medicare ID-Type UnspecifiedA38343

Medicare UPINC35490

Medicaid00A383430CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0958816

Vijay C Katukota, A Medical Corporation · Pomona, CA

Active · expires Mar 25, 2027

CLIA Number05D0958816

Laboratory TypePhysician Office

Certificate Effective DateMarch 26, 2025

Certificate Expiration DateMarch 25, 2027

Laboratory DirectorVijay C. Katukota MD

Laboratory Phone(909) 623-9900

Laboratory LocationVijay C Katukota, A Medical Corporation1177 N Park Avenue, Pomona, CA 91768

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARGARITA DEANNE PARRA P.A.-C

Physician Assistant