MS. KANTI CHARUGUNDLA (PA-C) – Physician Assistant, NPI 1326153990
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,686 PHYSICIAN ASSISTANT in CA
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Provider Addresses for MS. KANTI CHARUGUNDLA (PA-C)
2740, South Bristol Street, Santa Ana, Orange County, California, 92704, United States
SUITE 208
SANTA ANA, CA 927046209
Phone: (714) 979-5734
Fax: (714) 979-5781
Type: Mailing
2740 S Bristol St
SUITE 208
Santa Ana, CA 927046209
Phone: (714) 979-5734
Fax: (714) 979-5781
Type: Location
PO BOX 35380
LAS VEGAS, NV 891335380
Phone: (702) 579-3203
Type: Mailing
502 TORRANCE BLVD
REDONDO BEACH, CA 902773413
Phone: (310) 316-0811
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-09-20
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070920000694 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 31 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 27 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 92704)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | CA | |
| - | CA | |
| - | CA | |
| Family Practice | CA | |
| - | CA | |
| - | CA | |
| Physical Therapist In Private Practice | NV | |
| Internal Medicine | CA | |
| - | CA | |
| Internal Medicine, Geriatric Medicine | CA |
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