Active NPI
Tejal Gaurang Pandya, MD
- Surgery Physician
- Porterville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A128754
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497011316 | Medicaid | WA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
555 W Putnam Ave
Porterville, CA 93257-3286
Phone (559) 782-8533
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A128754 | CA | MD | Surgery Physician |
| MD61157645 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Medical Group, Inc | Surgery | Current | 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
- 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.
-
- Surgery Physician
- Porterville, CA
- NPI 1104296433
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1073911137
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
dba Sierra View Medical Center
- General Acute Care Hospital
- Porterville, CA
- NPI 1639143381
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.