NPIMap

Individual provider Active NPI

Sangeetha Balasubramanian, MD

  • Rheumatology Physician
  • Campbell, CA
National Provider Identifier
1265640874
Registry record updated Apr 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A114316 Issued in CA
Practice address
50 E Hamilton Ave Ste 200
Campbell, CA 95008-0251
Phone
(408) 866-1135
Fax
(408) 866-7926
NPI assigned
May 18, 2007
Last updated
Apr 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A114316 CA
Rheumatology Physician 207RR0500X A114316 CA Primary

Addresses

Primary practice location

50 E Hamilton Ave Ste 200
Campbell, CA 95008-0251

Mailing address

50 E Hamilton Ave Ste 200
Campbell, CA 95008-0251
Phone (408) 866-1135

Other practice location 1

700 W Parr Ave Ste A
Los Gatos, CA 95032-1416
Phone (408) 866-1135

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120628000086 CA Practitioner - RheumatologyPractitioner - Internal Medicine 8628233483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

50 E Hamilton Ave
Suite 200
Campbell, CA 95008-0251
Phone (408) 357-1425

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A114316CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Stanford Health Care Internal Medicine Current Accepting new patients
Stanford Health Care CurrentSince Oct 1, 2023 Accepting new patients
University Healthcare Alliance Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
County of Santa Clara Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Affinity Medical Group Past Accepting new patients
O'Connor Hospital Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 200
Campbell, CA 95008
Phone (408) 376-2300

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

700 W Parr Ave
Ste A
Los Gatos, CA 95032
Phone (408) 356-3178

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: sbalasubramanian81972@direct.stanfordhealthcare.org

Organizations & group practices 10

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1265640874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E HAMILTON AVE STE 200",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080251",
            "telephone_number": "408-866-1135",
            "fax_number": "408-866-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E HAMILTON AVE STE 200",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080251",
            "telephone_number": "408-866-1135",
            "fax_number": "408-866-7926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 W Parr Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950321416",
            "country_code": "US",
            "telephone_number": "408-866-1135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALASUBRAMANIAN",
        "first_name": "SANGEETHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A114316",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A114316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.