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

Vijay Balakrishnan, MD

Individual provider Dermatology Physician · NPI 1104311596

Vijay Balakrishnan, MD is a Dermatology in National City, California. Graduated from Emory University School of Medicine in 2018, 8 years ago. Practices with Ada West Dermatology, PC, a 26-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho and South Carolina.

Years since qualifying
8
Trained at
Emory University School of Medicine
Licensed in
ID, SC
In the registry since
2018
Specialties on file
3
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

655 Euclid Ave Ste 304
National City, CA 91950-2974
Phone: (619) 267-8303
Show map & directions

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

Additional practice locations (1)

  • 1618 S Millenium Way Ste 100, Meridian, ID 83642-6457 — (208) 884-3376

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence LL52671 (SC)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 9971137 (ID)
Dermatology Physician Taxonomy 207N00000X · Licence 9971137 (ID)

Record details

NPI number1104311596
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2018
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address510 20th St S Ste 858, Birmingham, AL 35233-2028

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Ada West Dermatology, P.C. — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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