Individual provider Active NPI

Swetha Balli

  • Family Medicine Physician
  • Fresno, CA
National Provider Identifier
1063991370
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A174790 Issued in CA
Practice address
1105 E Spruce Ave Ste 201
Fresno, CA 93720-3313
Phone
(559) 450-2630
Fax
(559) 450-0351
NPI assigned
Aug 8, 2018
Last updated
Jul 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A174790 CA Primary

Addresses

Primary practice location

1105 E Spruce Ave Ste 201
Fresno, CA 93720-3313

Mailing address

1685 E Home Ave
Fresno, CA 93728-2027
Phone (559) 457-6900

Other practice location 1

250 W 5th St
Hanford, CA 93230-5029
Phone (877) 960-3426

Other practice location 2

1685 E Home Ave
Fresno, CA 93728-2027
Phone (559) 457-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104002948 CA Practitioner - Family Practice 7214288984 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians

Practice addresses (Care Compare)

1105 E Spruce Ave
Suite 201
Fresno, CA 93720-3313
Phone (559) 450-2630

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A174790CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Sierra Vista CurrentSince Sep 4, 2023 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Sep 27, 2021 Accepting new patients
Family Healthcare Network CurrentSince Sep 27, 2021 Accepting new patients
Clinica Sierra Vista CurrentSince Sep 4, 2023 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients
Saint Agnes Medical Foundation Family Medicine CurrentSince Jul 1, 2025 Accepting new patients
Clinica Sierra Vista Current Accepting new patients
Family Healthcare Network Current Accepting new patients

Locations

1105 E Spruce Ave
Ste 201
Fresno, CA 93720
Phone (559) 450-2630

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1350 S Orange Ave
Fresno, CA 93702
Phone (559) 457-5400

1685 E Home Ave
Fresno, CA 93728
Phone (559) 457-6900

250 W 5th St
Hanford, CA 93230
Phone (559) 587-4532

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

201 E Lakeview Ave
Woodlake, CA 93286
Phone (559) 564-0100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA
  • Direct secure messaging: sballi4508929@direct.trinity-health.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1063991370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 E HOME AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937282027",
            "telephone_number": "559-457-6900",
            "fax_number": "559-400-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 E SPRUCE AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203313",
            "telephone_number": "559-450-2630",
            "fax_number": "559-450-0351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 W 5th St",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932305029",
            "country_code": "US",
            "telephone_number": "877-960-3426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1685 E Home Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937282027",
            "country_code": "US",
            "telephone_number": "559-457-6900",
            "fax_number": "559-400-8432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLI",
        "first_name": "SWETHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-08",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A174790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.