Individual provider Active NPI

Simrun Bal, DDS

  • Pediatric Dentistry
  • Los Gatos, CA
National Provider Identifier
1609565209
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
111643 Issued in CA
Practice address
15827 Los Gatos Blvd Ste B
Los Gatos, CA 95032-3300
Phone
(408) 356-4900
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 111643 CA Primary

Addresses

Primary practice location

15827 Los Gatos Blvd Ste B
Los Gatos, CA 95032-3300

Mailing address

6711 S Sepulveda Blvd Apt 303
Los Angeles, CA 90045-2783

Other practice location 1

2833 Pacific Coast Hwy
Torrance, CA 90505-6701
Phone (424) 999-5478

Other practice location 2

9818 Paramount Blvd
Downey, CA 90240-4408
Phone (562) 927-6453

Other practice location 3

20933 Devonshire St Ste 103
Chatsworth, CA 91311-2393
Phone (818) 739-0182

Other names 1

  • Simrun Sandhu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
111643CAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Schrodi Professional Dental Corporation Pediatric Dentistry PastSince Apr 17, 2020 Accepting new patients
Dr Rabitz Pediatric Dental Office Pediatric Dentistry Past Accepting new patients
Morvarid Aletomeh DMD Inc Pediatric Dentistry PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1609565209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 S SEPULVEDA BLVD APT 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15827 LOS GATOS BLVD STE B",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950323300",
            "telephone_number": "408-356-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2833 Pacific Coast Hwy",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905056701",
            "country_code": "US",
            "telephone_number": "424-999-5478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9818 Paramount Blvd",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902404408",
            "country_code": "US",
            "telephone_number": "562-927-6453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20933 Devonshire St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "CA",
            "postal_code": "913112393",
            "country_code": "US",
            "telephone_number": "818-739-0182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAL",
        "first_name": "SIMRUN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "111643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIMRUN",
            "last_name": "SANDHU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.