ARAVINTHAN BALAGURU
NPI 1104130822
Psychologist - Clinical in Fremont, CA

Q: What is Aravinthan Balaguru's NPI number?

The NPI number for Aravinthan Balaguru is 1104130822. It was assigned to this individual provider in the NPPES registry on August 5, 2010.

Q: What is Aravinthan Balaguru's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since August 05, 2010PECOS Enrolled

39420 LIBERTY ST, STE 140, FREMONT, CA 94538(510) 745-9151(510) 745-9152 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Aravinthan Balaguru NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARAVINTHAN BALAGURU (NPI 1104130822) is an individual clinical provider in Fremont, California, licensed in California (PSY31336) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104130822

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameARAVINTHAN BALAGURU

Location Address39420 LIBERTY ST, STE 140Fremont, CA 94538-2200

Mailing Address39420 Liberty St, Ste 140Fremont, CA 94538-2200 · (510) 745-9151 · Fax (510) 745-9152

Phone(510) 745-9151

Fax(510) 745-9152

Sole ProprietorNo

Enumeration DateAugust 5, 2010

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1104130822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY31336

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

39420 LIBERTY ST, Fremont, CA 94538

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aravinthan Balaguru is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Aravinthan Balaguru reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pain And Rehabilitative Consultants Medical Group

26 mi

Interventional Pain Medicine

1335 STANFORD AVE
Emeryville, CA 94608

Reassigned Medicare billing, California enrollment
19 clinicians in this Medicare group

NPI 1952466963 (510) 647-5101

Mind Body Medicine Inc

47 mi

Psychiatry

1811 GRAND CANAL BLVD STE 3
Stockton, CA 95207

Reassigned Medicare billing, California enrollment
12 clinicians in this Medicare group

NPI 1871278754 (209) 800-1718

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KIRK K CHANG M.A., BCBA

Behavior Analyst

39420 LIBERTY ST
FREMONT, CA 94538

Alameda County (510) 698-2896

LIBBY PEARCE

Psychologist (Clinical)

39420 LIBERTY ST, SUITE 140
FREMONT, CA 94538

Alameda County (510) 745-9151

JASMEEN IQBAL

Student in an Organized Health Care Education/Training Program

39420 LIBERTY ST
FREMONT, CA 94538

Alameda County (510) 745-9151

NITHYA NARAYAN

Student in an Organized Health Care Education/Training Program

39420 LIBERTY ST, SUITE 140
FREMONT, CA 94538

Alameda County (510) 745-9151

MRS. LEAH C CHANDLER MA, PHD INTERN

Student in an Organized Health Care Education/Training Program

39420 LIBERTY ST, SUITE 140
FREMONT, CA 94538

Alameda County (510) 745-9151

LIISA JOHANNA AUTIO

Student in an Organized Health Care Education/Training Program

39420 LIBERTY ST, SUITE 140
FREMONT, CA 94538

Alameda County (510) 745-9151

JENNIFER ADAMS

Speech-Language Pathologist

39420 LIBERTY ST, SUITE 150
FREMONT, CA 94538

Alameda County (510) 794-5155

PORTIA BELL HUME BEHAVIORAL HEALTH AND TRAINING CENTER

Student in an Organized Health Care Education/Training Program

39420 LIBERTY ST, SUITE 140
FREMONT, CA 94538

Alameda County (510) 745-9151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aravinthan Balaguru's NPI number?

The NPI number for Aravinthan Balaguru is 1104130822. It was assigned to this individual provider in the NPPES registry on August 5, 2010.

Where is Aravinthan Balaguru located?

Aravinthan Balaguru practices at 39420 Liberty St Ste 140, Fremont, CA 94538. The listed phone number is (510) 745-9151.

What is Aravinthan Balaguru's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Aravinthan Balaguru enrolled in Medicare?

Yes. Aravinthan Balaguru is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Aravinthan Balaguru's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Aravinthan Balaguru reassigns Medicare benefits to 2 organizations: Pain And Rehabilitative Consultants Medical Group (Emeryville, CA) and Mind Body Medicine Inc (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Aravinthan Balaguru's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Aravinthan Balaguru was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.