Individual provider Active NPI

Pundari K Chemitiganti, M.D.

  • Gastroenterology Physician
  • Huntington Beach, CA
National Provider Identifier
1033123971
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A40967 Issued in CA
Practice address
19582 Beach Blvd
Ste 102
Huntington Beach, CA 92648-2996
Phone
(714) 843-6789
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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 A40967 CA Primary

Addresses

Primary practice location

19582 Beach Blvd
Ste 102
Huntington Beach, CA 92648-2996

Mailing address

6621 Polo Cir
Huntington Beach, CA 92648-1544
Phone (714) 843-6789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40967CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Huntington Medical Group CurrentSince Nov 9, 2025 Accepting new patients
Pundari C Ganti M D Inc Gastroenterology Past Accepting new patients

Locations

19582 Beach Blvd
Ste 314
Huntington Beach, CA 92648
Phone (714) 378-2421

19582 Beach Blvd
Ste 321
Huntington Beach, CA 92648
Phone (714) 378-2401

19582 Beach Blvd
Ste 102
Huntington Beach, CA 92648
Phone (714) 378-2403

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1033123971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 POLO CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481544",
            "telephone_number": "714-843-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19582 BEACH BLVD",
            "address_2": "STE 102",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926482996",
            "telephone_number": "714-843-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEMITIGANTI",
        "first_name": "PUNDARI",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A40967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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.