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

Vidyamohan Balu

Individual provider Internal Medicine Physician · NPI 1265815880

Vidyamohan Balu is an Internal Medicine in San Jacinto, California. Qualified in 2010, 16 years ago. Practices with R and N Gupta MD Professional Corporation, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2015

Practice location Address checks out

341 E Main St Ste 100
San Jacinto, CA 92583-4206
Phone: (951) 654-9367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A152595 (CA)

Record details

NPI number1265815880
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2015
Last updated in NPPESNovember 13, 2018
Mailing address341 E Main St, Ste 100, San Jacinto, CA 92583-4206

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice R And N Gupta Md Professional Corporation — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Jacinto