Balachandran Dobli Srinivasan, MD, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G87093 Issued in CA

Practice address

81245 Golf View Dr
La Quinta, CA 92253-7686

Phone

(760) 771-5651

NPI assigned

Aug 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• The New York and Presbyterian Hospital

  • Community/Retail Pharmacy
  • White Plains, NY
  • NPI 1457057226
  NPD (past)
• The New York and Presbyterian Hospital

  • Nutritionist
  • New York, NY
  • NPI 1891857025
  NPD (past)
• Trustees of Columbia University in the City of New York

  • Ophthalmology Physician
  • New York, NY
  • NPI 1376576892
  NPD (past)
• Trustees of Columbia University in the City of New York

  • Ophthalmology Physician
  • New York, NY
  • NPI 1790732352
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124134200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81245 GOLF VIEW DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537686",
            "telephone_number": "760-771-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81245 GOLF VIEW DR",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922537686",
            "telephone_number": "760-771-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINIVASAN, MD",
        "first_name": "BALACHANDRAN",
        "middle_name": "DOBLI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G87093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Social Services of Southern California a Licensed Clinical Social Work
• Delos Soehren Jr., D.C.
• Rita Soto, DDA
• Nash Sourial, D.D.S.
• Kari Elizabeth Sower, NP
• St Mary Corp Inc
• Parker Lewis Stanway, DMD
• Star Orthopaedics, Inc.
• Stephen Ross Steele, D.O.
• Kenneth Stein, PHARM D

• Ophthalmology Physician in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.