Freedom Medical Group, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

00A443140 Issued in CA

Legal business name

FREEDOM MEDICAL GROUP, INC

Practice address

555 W Putnam Ave
Porterville, CA 93257-3286

Phone

(559) 782-8533

Fax

(559) 782-8544

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Gaurang S Pandya, M.D.NPI 1881699163

Title

President

Phone

(559) 782-8533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gaurang S Pandya, M.D.

  • Surgery Physician
  • Porterville, CA
  • NPI 1881699163
  Medicare reassignment Care Compare group NPD Authorized official
• Tejal Gaurang Pandya, MD

  • Surgery Physician
  • Porterville, CA
  • NPI 1497011316
  Medicare reassignment Care Compare group NPD
• Vivek Dalal, MD

  • Anesthesiology Physician
  • Porterville, CA
  • NPI 1629368261
  Medicare reassignment NPD

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1104296433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573286",
            "telephone_number": "559-782-8533",
            "fax_number": "559-782-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W PUTNAM AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573286",
            "telephone_number": "559-782-8533",
            "fax_number": "559-782-8544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "GAURANG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-782-8533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "00A443140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael A Flores, PA-C
• Timothy Fong, PA
• Michelle Lynne Forsyth, LMFT
• Michael Fosberg
• Andrea Gloria Johanna Franco
• Gaither'S Family Home Inc.
• Carmen Milagros Gamino Arevalo
• Shashi D Ganti, MD
• Lisa A Garber, CNM
• Adriana Garcia Urieta

• Surgery Physician in Porterville, CA
• Providers in Porterville, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.