Avni Pandya, MD
NPI 1417078999 · Family Medicine Physician · La Palma, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Avni Pandya, MD is a Family Medicine Physician provider in La Palma, CA (NPI 1417078999).
Provider details
- NPI number
- 1417078999
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 322039 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
4,071 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Community Health Integration Services, Each Additional 30 Minutes Per Calendar Month (list Separately in Addition to G0019)G0022 | 3,411 | $61 |
| Community Health Integration Services Performed By Certified Or Trained Auxiliary Personnel, Including a Community Health Worker, Under the Direction of a Physician Or Other Practitioner; 60 Minutes Per Calendar Month, in the Following Activities to AddresG0019 | 302 | $99 |
| Telephone Medical Discussion With Physician, 21-30 Minutes99443 | 157 | $153 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 77 | $134 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 39 | $110 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 25 | 23 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 15 | 12 |
| Prednisone | 14 | 13 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 11 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-03
- Last updated
- 2025-12-26
- Certified
- 2025-12-26
Frequently asked questions
- What is Avni Pandya's NPI number?
- Avni Pandya's National Provider Identifier (NPI) is 1417078999, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Avni Pandya's specialty?
- Avni Pandya is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Avni Pandya located?
- Avni Pandya's practice location on file with NPPES is 4571 Sharon Dr, La Palma, CA 90623-1637.
- What is Avni Pandya's phone number?
- The practice phone number listed in the NPPES registry for Avni Pandya is (888) 803-3370.
- Does Avni Pandya accept Medicare?
- Avni Pandya is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Avni Pandya's NPI active?
- Yes — Avni Pandya's NPI (1417078999) is active in the NPPES registry as of the last update on 2025-12-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.