{
"Npi": {
"NPI": "1164874855",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MUKTHINUTHALAPATI",
"FirstName": "VIJAYA",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "MD",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MUKTHINUTHALAPATI",
"OtherFirstName": "V V PAVAN KEDAR",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "MD",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "416B MAIN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SALINAS",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93901-3306",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "831-800-7887",
"MailingAddressFaxNumber": "831-998-7155",
"FirstLinePracticeLocationAddress": "1663 DOMINICAN WAY STE 210",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SANTA CRUZ",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95065-1556",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "831-260-3591",
"PracticeLocationAddressFaxNumber": "800-785-5318",
"EnumerationDate": "07/06/2016",
"LastUpdateDate": "11/14/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207RG0100X",
"TaxonomyName": "Gastroenterology Physician",
"LicenseNumber": "A184311",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}