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

Shailesh Balasubramanian

Individual provider Internal Medicine Physician · NPI 1164748562

Shailesh Balasubramanian is a Pulmonary Disease in Santa Monica, California. Qualified in 2010, 16 years ago. Practices with The Regents of the University of California, a 1,414-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
16
Licensed in
CA, NY
In the registry since
2010
Specialties on file
2
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Practice location Address checks out

1223 16th St Ste 3400
Santa Monica, CA 90404-1279
Phone: (310) 449-0939
Fax: (424) 259-7790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence A168744 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 274282 (NY)

Record details

NPI number1164748562
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 12, 2010
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice The Regents Of The University Of California — 1414 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Santa Monica