Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aneesh Ambalal, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114165057

Aneesh Ambalal, MD is an Internal Medicine in Santa Clara, California. Qualified in 2006, 20 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
20
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

710 Lawrence Expy Gme Dept 384
Santa Clara, CA 95051-5173
Phone: (408) 851-7203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114165057
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 30, 2009
Last updated in NPPESFebruary 11, 2022
Mailing address489 Northlake Dr, 202, San Jose, CA 95117-1378

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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