Individual provider Active NPI

Balram Gangaram, M.D.

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1841369519
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-12641 Issued in HI
Practice address
UCSF, 550 16TH Street
San Francisco, CA 94158-1001
Phone
(808) 983-8387
Fax
(808) 945-1570
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X 155846 CA
Pediatrics Physician 208000000X MD-12641 HI Primary

Addresses

Primary practice location

UCSF, 550 16TH Street
San Francisco, CA 94158-1001

Mailing address

550 16TH St
San Francisco, CA 94158-2545
Phone (415) 476-2757

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901003260 CA Practitioner - Medical Genetics and GenomicsPractitioner - Pediatric Medicine 0547154734 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
155846CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
UCSF Medical Group Business Services CurrentSince Aug 27, 2020 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
University of California San Francisco Pediatrics CurrentSince Aug 27, 2020 Accepting new patients
UCSF Pediatrics Associates Clinical Genetics (M.D.) CurrentSince Aug 27, 2020 Accepting new patients
Valley Children's Medical Group Pediatrics CurrentSince Jul 5, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 27, 2020 Accepting new patients
University of California San Francisco CurrentSince Aug 27, 2020 Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

550 16th St
San Francisco, CA 94158
Phone (415) 476-5001

1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Interoperability endpoints

  • Direct secure messaging: bgangaram78294@valleychildrens-prd.direct-ci.com

Organizations & group practices 8

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1841369519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 16TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941582545",
            "telephone_number": "415-476-2757",
            "fax_number": "415-476-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCSF, 550 16TH STREET",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941581001",
            "telephone_number": "808-983-8387",
            "fax_number": "808-945-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANGARAM",
        "first_name": "BALRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2021-04-27",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "155846",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD-12641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.