SMITHA BALACHANDRAN FNP-C
NPI 1508327479
Nurse Practitioner - Family in Manteca, CA

Active since March 25, 2019PECOS Enrolled
1206 E NORTH ST, MANTECA, CA 95336(209) 665-7054 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Smitha Balachandran Fnp-c NPPES

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

SMITHA BALACHANDRAN FNP-C (NPI 1508327479) is an individual family provider in Manteca, California, licensed in California (95011064) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Modesto.

NPPES Registry Identity

NPI1508327479
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSMITHA BALACHANDRANCredential: FNP-C
Location Address1206 E NORTH STManteca, CA 95336-4962
Mailing Address1206 E North StManteca, CA 95336-4962 · (209) 233-5718
Sole ProprietorNo
Enumeration DateMarch 25, 2019
Last NPPES UpdateFebruary 10, 2025
NPPES CertifiedFebruary 10, 2025
✔ NPI 1508327479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95011064
1206 E NORTH ST, Manteca, CA 95336

Secondary Practice Location 1

Location 14312 Spyres WayModesto, CA 95356-9259 · Phone (209) 233-5718

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Smitha Balachandran Fnp-c 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 Reassignment

Medicare enrollment records show Smitha Balachandran reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
250 NORTHGATE DR
Manteca, CA 95336
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group

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 95336 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 2

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

Internal Medicine
1206 E NORTH ST
MANTECA, CA 95336
Surgery
1206 E NORTH ST
MANTECA, CA 95336

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 Smitha Balachandran's NPI number?

The NPI number for Smitha Balachandran is 1508327479. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Smitha Balachandran located?

Smitha Balachandran practices at 1206 E North St, Manteca, CA 95336. The listed phone number is (209) 665-7054.

What is Smitha Balachandran's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Smitha Balachandran enrolled in Medicare?

Yes. Smitha Balachandran is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Smitha Balachandran's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Smitha Balachandran reassigns Medicare benefits to Golden Valley Health Center (Manteca, CA). The 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 Smitha Balachandran'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 Smitha Balachandran was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.