Individual provider Active NPI

Venkata S.R. Pulakanti, M.D.

  • Internal Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1356521843
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A51071 Issued in CA
Practice address
2021 E 4TH St Ste 122
Santa Ana, CA 92705-3912
Phone
(909) 496-1195
NPI assigned
Nov 13, 2007
Last updated
Jun 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A51071 CA Primary

Addresses

Primary practice location

2021 E 4TH St Ste 122
Santa Ana, CA 92705-3912

Mailing address

241 Deborah CT
Upland, CA 91784-1400
Phone (909) 496-1195

Other identifiers 1

IdentifierTypeStateIssuer
00A510710MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071024000362 CA Practitioner - Internal MedicinePractitioner - General Practice 7113937913 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound Masters Medical Group IncGroup PAC ID 8224307053, 12 clinicians

Practice addresses (Care Compare)

Rancho Cucamonga, CA 91730
Phone (909) 989-4665

1131 W 6TH St
Suite 250
Ontario, CA 91762-1108
Phone (661) 383-7136

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.59 of 100Reported as group
Quality
54.12
Improvement activities
0
Cost
84.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue166
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51071CAMDGeneral Practice Dentistry
A51071CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chaparral Medical Group, Inc. Internal Medicine Current Accepting new patients
Chaparral Medical Group, Inc. CurrentSince Sep 6, 2018 Accepting new patients
Wound Masters Medical Group Inc CurrentSince Oct 25, 2023 Accepting new patients
Our Family Medical Group, Inc. Internal Medicine Current Accepting new patients
Chaparral Medical Group, Inc. Current Accepting new patients
Our Family Medical Group, Inc. CurrentSince Jan 2, 2024 Accepting new patients
Chaparral Medical Group, Inc. CurrentSince Sep 6, 2018 Accepting new patients
Chaparral Medical Group Inc. CurrentSince Sep 6, 2018 Accepting new patients
Health Service Alliance CurrentSince Feb 1, 2026 Accepting new patients
Chino Medical Group, Inc Internal Medicine CurrentSince Nov 16, 2024 Accepting new patients
Health Service Alliance CurrentSince Feb 1, 2026 Accepting new patients
Advanced Wound Care Specialists CurrentSince Dec 9, 2025 Accepting new patients
Our Family Medical Group, Inc. Internal Medicine CurrentSince Jan 2, 2024 Accepting new patients
Foothills Psychological Services, Inc. Past Accepting new patients
Azhar Majeed M D Inc Internal Medicine Past Accepting new patients
Pulakanti MD Corporation Internal Medicine PastSince Jul 24, 2022 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Internal Medicine Past Accepting new patients
Jonah Medical Group, Inc. Internal Medicine PastSince Jan 2, 2025 Accepting new patients

Locations

5475 Walnut Ave
Chino, CA 91710
Phone (909) 591-6446

5475 Walnut Ave
Fl 1
Chino, CA 91710
Phone (909) 591-6446

5475 Walnut Ave
Ste 1
Chino, CA 91710

5475 Walnut Ave
Ste H
Chino, CA 91710
Phone (909) 591-6446

430 W Baseline Rd
Claremont, CA 91711
Phone (909) 621-3916

16377 Main St
Ste A
Hesperia, CA 92345
Phone (760) 688-4808

5050 San Bernardino St
Montclair, CA 91763
Phone (909) 281-5800

1131 W 6th St
Ste 150
Ontario, CA 91762
Phone (909) 482-4462

1131 W 6th St
Ste 230
Ontario, CA 91762
Phone (833) 362-7837

1131 W 6th St
Ste 250
Ontario, CA 91762
Phone (833) 362-7837

1801 W Olympic Blvd
Pasadena, CA 91199

1866 N Orange Grove Ave
Ste 202
Pomona, CA 91767
Phone (909) 623-8796

1880 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 620-7200

1940 N Orange Grove Ave
Ste C
Pomona, CA 91767
Phone (909) 524-1040

840 Towne Center Dr
Pomona, CA 91767

9190 Haven Ave
Ste 101
Rancho Cucamonga, CA 91730
Phone (909) 581-6732

10970 Arrow Rte
Ste 206
Rch Cucamonga, CA 91730
Phone (909) 446-2329

9190 Haven Ave
Ste 102
Rch Cucamonga, CA 91730
Phone (909) 527-8110

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFCCD

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1356521843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 DEBORAH CT",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917841400",
            "telephone_number": "909-496-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E 4TH ST STE 122",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053912",
            "telephone_number": "909-496-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULAKANTI",
        "first_name": "VENKATA",
        "middle_name": "S.R.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A510710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.