NPIMap

Individual provider Active NPI

Sreesh Gopal Iyengar, MD

  • Nephrology Physician
  • San Bernardino, CA
National Provider Identifier
1699069146
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A128686 Issued in CA
Practice address
401 E Highland Ave Ste 551
San Bernardino, CA 92404-3840
Phone
(909) 882-9150
Fax
(951) 883-8972
NPI assigned
Jun 1, 2011
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A128686 CA Primary

Addresses

Primary practice location

401 E Highland Ave Ste 551
San Bernardino, CA 92404-3840

Mailing address

3660 Park Sierra Dr Ste 203
Riverside, CA 92505-3071
Phone (951) 687-3400

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
I20170222001114 CA Practitioner - Nephrology 4486933769 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Enloe Health and WellnessGroup PAC ID 3678946282, 38 clinicians
Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians

Practice addresses (Care Compare)

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 332-4470

3011 Ceres Ave
Suite 100
Chico, CA 95973-5637
Phone (530) 332-3815

401 E Highland Ave
Suite 551
San Bernardino, CA 92404-3840
Phone (909) 882-9150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A128686CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates Medical Group Inc Nephrology CurrentSince Jan 7, 2017 Accepting new patients
Enloe Medical Center CurrentSince Jan 26, 2026 Accepting new patients
Enloe Health and Wellness CurrentSince Jan 26, 2026 Accepting new patients
Enloe Medical Center CurrentSince Jan 26, 2026 Accepting new patients
Enloe Health and Wellness Nephrology CurrentSince Jan 26, 2026 Accepting new patients
Redlands Community Hospital Past Accepting new patients
San Gorgonio Memorial Hospital Past Accepting new patients
Dignity Health Past Accepting new patients
Enloe Medical Center Past Accepting new patients
Enloe Health and Wellness Past Accepting new patients
Community Hospital of San Bernardino Past Accepting new patients

Locations

264 N Highland Springs Ave
Ste 3B
Banning, CA 92220
Phone (951) 769-9776

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

1601 Esplanade
Chico, CA 95926
Phone (530) 332-7148

3011 Ceres Ave
Ste 100
Chico, CA 95973
Phone (530) 332-3815

42362 Bob Hope Dr
Ste 1
Rancho Mirage, CA 92270
Phone (760) 341-4839

3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400

3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800

401 E Highland Ave
Ste 551
Sn Bernrdno, CA 92404
Phone (909) 882-1759

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sreesh.iyengar.1@19859.direct.athenahealth.com

Organizations & group practices 11

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1699069146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 PARK SIERRA DR STE 203",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053071",
            "telephone_number": "951-687-3400",
            "fax_number": "951-687-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E HIGHLAND AVE STE 551",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924043840",
            "telephone_number": "909-882-9150",
            "fax_number": "951-883-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IYENGAR",
        "first_name": "SREESH",
        "middle_name": "GOPAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-01",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A128686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.