Individual provider Active NPI

Tejal Gaurang Pandya, MD

  • Surgery Physician
  • Porterville, CA
National Provider Identifier
1497011316
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A128754 Issued in CA
Practice address
555 W Putnam Ave
Porterville, CA 93257-3286
Phone
(559) 782-8533
Fax
(559) 782-8544
NPI assigned
Apr 4, 2012
Last updated
Sep 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A128754 CA Primary
Surgery Physician 208600000X MD61157645 WA

Addresses

Primary practice location

555 W Putnam Ave
Porterville, CA 93257-3286

Mailing address

555 W Putnam Ave
Porterville, CA 93257-3286
Phone (559) 782-8533

Other practice location 1

7750 N Fresno St Ste 101
Fresno, CA 93720-2410
Phone (559) 782-8533

Other identifiers 1

IdentifierTypeStateIssuer
1497011316MedicaidWA

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
I20170726004152 CA Practitioner - General Surgery 7416227269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Freedom Medical Group IncGroup PAC ID 5294036299, 2 clinicians

Practice addresses (Care Compare)

555 W Putnam Ave
Porterville, CA 93257-3286
Phone (559) 782-8533

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128754CAMDSurgery Physician
MD61157645WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Freedom Medical Group, Inc Surgery CurrentSince Jun 13, 2017 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

555 W Putnam Ave
Porterville, CA 93257
Phone (559) 782-8533

Interoperability endpoints

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

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1497011316",
    "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": [
        {
            "address_1": "7750 N Fresno St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202410",
            "country_code": "US",
            "telephone_number": "559-782-8533",
            "fax_number": "559-782-8544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDYA",
        "first_name": "TEJAL",
        "middle_name": "GAURANG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A128754",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61157645",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497011316",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.