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DR. HEENA UTPAL PANDYA DDS
NPI 1235620147
Dentist in San Diego, CA

Active since May 25, 2018PECOS Enrolled
12636 VIA LAS LENAS, SAN DIEGO, CA 92129(858) 859-5225 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 16, 2026, Oct 3, 2023, May 25, 2018 (3 updates tracked since 2018).

About Dr. Heena Utpal Pandya Dds NPPES

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

DR. HEENA UTPAL PANDYA DDS (NPI 1235620147) is an individual dentist in San Diego, California, licensed in California (DDS48844) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235620147
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. HEENA UTPAL PANDYACredential: DDS
Location Address12636 VIA LAS LENASSan Diego, CA 92129-2237
Mailing Address12636 Via Las LenasSan Diego, CA 92129-2237
Phone(858) 859-5225
Sole ProprietorYes
Enumeration DateMay 25, 2018
Last NPPES UpdateJuly 16, 20263 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1235620147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · DDS48844
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12636 VIA LAS LENAS, San Diego, CA 92129
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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)

Dr. Heena Utpal Pandya Dds 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

2

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

Centro De Salud De La Comunidad De San Ysidro, Inc.
12 mi
Federally Qualified Health Center (FQHC)
120 TOWN CENTER PKWY
Santee, CA 92071
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1376184911 (619) 662-4100
Family Health Centers Of San Diego, Inc
13 mi
Federally Qualified Health Center (FQHC)
3705 MISSION BLVD
San Diego, CA 92109
  • Reassigned Medicare billing, California enrollment
  • 1,100 clinicians in this Medicare group
NPI 1386689701 (619) 515-2444

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 92129 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Heena Pandya's NPI number?

The NPI number for Heena Pandya is 1235620147. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Heena Pandya located?

Heena Pandya practices at 12636 Via Las Lenas, San Diego, CA 92129. The listed phone number is (858) 859-5225.

What is Heena Pandya's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Heena Pandya enrolled in Medicare?

Yes. Heena Pandya is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heena Pandya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heena Pandya reassigns Medicare benefits to 2 organizations: Centro De Salud De La Comunidad De San Ysidro, Inc. (Santee, CA) and Family Health Centers Of San Diego, Inc (San Diego, 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 Heena Pandya'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 Heena Pandya was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.