DR. MANJU MARIN CHACKO CCC - SLP
NPI 1881969673
Speech-Language Pathologist in American Canyon, CA
About Dr. Manju Marin Chacko Ccc - Slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MANJU MARIN CHACKO CCC - SLP (NPI 1881969673) is an individual speech-language pathologist provider in American Canyon, California, licensed in California (17280) and active in the NPI registry since March 2012. She is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Manju Marin Chacko Ccc - Slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Manju Marin Chacko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vallejo, CA 94589
- Reassigned Medicare billing, California enrollment
- 20,078 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.
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 Manju Marin Chacko's NPI number?
The NPI number for Manju Marin Chacko is 1881969673. It was assigned to this individual provider in the NPPES registry on March 13, 2012.
Where is Manju Marin Chacko located?
Manju Marin Chacko practices at 227 Reliant Way, American Canyon, CA 94503. The listed phone number is (626) 321-7296.
What is Manju Marin Chacko's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Manju Marin Chacko enrolled in Medicare?
Yes. Manju Marin Chacko is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Manju Marin Chacko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Manju Marin Chacko reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, 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 Manju Marin Chacko'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 Manju Marin Chacko was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Manju Marin Chacko, CCC - SLP · NPI 1881969673
Speech-Language Pathologist provider in American Canyon, California. Individual provider, active in the CMS NPPES registry since March 13, 2012.
## Identity
- **NPI:** 1881969673 (Entity type: Individual)
- **Enumerated:** March 13, 2012
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 17280 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 227 RELIANT WAY, American Canyon, CA 94503-3236
- **Phone:** (626) 321-7296
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1336222397, Vallejo, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** May 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1881969673) · Data from the CMS NPPES public registry.