Sangeetha Balasubramanian, MD
Individual provider Active NPI Rheumatology Physician · Campbell, CA
NPI 1265640874 · NPPES record last updated Apr 15, 2024
Key facts
- NPI
- 1265640874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Rheumatology Physician 207RR0500X
- License
- A114316 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Rheumatology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University Healthcare Alliance
Practice addresses (Care Compare)
50 E Hamilton Ave
Suite 200
Campbell, CA 95008-0251
Phone (408) 357-1425
Hospital & facility affiliations
- Stanford Health Care
- Good Samaritan Hospital
- El Camino Health
- Marian Regional Medical Center
- Santa Clara Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120628000086 | CA | Practitioner - Rheumatology |
8628233483 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A114316 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Healthcare Alliance | Internal Medicine | Current |
Accepting new patients |
| Stanford Health Care | Internal Medicine | Current | Accepting new patients |
| Stanford Health Care | Current |
Accepting new patients | |
| Stanford Health Care | Internal Medicine | Current |
Accepting new patients |
| County of Santa Clara | Past | Accepting new patients | |
| Affinity Medical Group | Past | Accepting new patients | |
| O'Connor Hospital | Past | Accepting new patients | |
| Good Samaritan Hospital, L.P. | Past | Accepting new patients | |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients |
Locations
50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646
50 E Hamilton Ave
Ste 200
Campbell, CA 95008
Phone (408) 376-2300
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
- sbalasubramanian81972@direct.stanfordhealthcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A114316 | CA | |
| Rheumatology Physician | 207RR0500X | A114316 | CA | Yes |
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
NPI Registry JSON
{
"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
- Charles E Baker
- Noor Baker
- Olga Baker
- Bailey Jane Bakken
- Balancing Act Family Therapy Center PC
- Lauren Balcaceres
- Celeste Baldiviez
- Steven Baldonado
- Alexis Balentine
- Mia Ballesteros
All providers in Campbell, CA · Rheumatology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.