Quick answers
- Does Gemma D. Balcita accept Medicare assignment?
- Yes. Medicare's clinician data says Gemma D. Balcita accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Gemma D. Balcita see?
- In 2024, CMS data shows 450 Original Medicare patients and 1,663 services for Gemma D. Balcita. This counts Original Medicare only and measures volume, not quality.
- What is Gemma D. Balcita's NPI number?
- 1750033155. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Gemma D. Balcita, data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 450 |
|---|---|
| Services billed to Medicare | 1,663 |
| Different services or procedures | 10 |
| Participating Medicare provider | Yes |
| Average age of these patients | 70 |
Most frequent services
- Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more (99308)780 services
- Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes (99309)318 services
- Psychiatric diagnostic evaluation with medical services (90792)214 services
- Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes (99232)211 services
- Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes (99348)110 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure75%
- Depression75%
- High cholesterol72%
- Anxiety69%
- Diabetes53%
- Arthritis53%
Hospitals where Gemma D. Balcita works
Medicare's Facility Affiliation Data lists Gemma D. Balcita at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Foothill Regional Medical CenterTustin, CA · Acute Care Hospital · Medicare rating: 3 of 5 stars · Emergency services: not listed by Medicare · CCN 050780
Practice locations
Addresses where Gemma D. Balcita is enrolled with Medicare (CMS data updated October 2, 2026).
- 1010 W Chapman AveOrange, CA 92868 (714) 633‑4300
- 5838 Edison Pl, Suite 100Carlsbad, CA 92008 (888) 515‑3834
- 9855 Erma Rd, Suite 133San Diego, CA 92131 (858) 348‑3760
Group practices
Medicare enrollment lists Gemma D. Balcita as a member of these groups (CMS data updated October 2, 2026).
- Memory Check Psychological Services, a Professional Corporation76 clinicians in the group
- Datnguyen, M.D., Inc.20 clinicians in the group
- Advantage Neuropsychiatric Associates A P C16 clinicians in the group
Specialties
- Nurse Practitionerprimary
Other nurse practitioners in Orange
Clinicians with the same Medicare primary specialty in Orange, CA — not a recommendation.
Other clinicians in Memory Check Psychological Services, a Professional Corporation
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | NP |
|---|---|
| Graduation year | 2021 |
| Gender (as listed) | Female |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1750033155 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians