DR. RAJ BALASUNDARAM (NPI# 1083840367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083840367 |
| Entity Type | Individual |
| Full Name | DR. RAJ BALASUNDARAM |
| Credential | M.D. |
| Practice Address |
11525 Brookshire Ave Suite 400 Downey CA 90241-4985 |
| Mailing Address |
1100 Wilshire Blvd 2010 Los Angeles CA 90017-1916 |
| Practice Telephone | 5628691070 |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2016-04-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A107910 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11525 BROOKSHIRE AVE SUITE 400 |
| City | DOWNEY |
| State | CA |
| Zip Code | 90241-4985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306816657 | Douglas A Blose | Dermatology | 11525 Brookshire Ave, Downey, CA 90241-4985 | 2006-01-26 |
| 1932748126 | Bo Cho | Acupuncturist | 11525 Brookshire Ave, Downey, CA 90241-4985 | 2020-01-05 |
| 1710358395 | Phillip Boggs | Nurse Practitioner | 11525 Brookshire Ave, Suite 400, Downey, CA 90241-4985 | 2015-10-08 |
| 1831582998 | Retina Institute of California Medical Group | Optometrist | 11525 Brookshire Ave, 210a, Downey, CA 90241-4985 | 2015-03-13 |
| 1487075735 | Pallavi Kasukurthi | Internal Medicine | 11525 Brookshire Ave, Suite 400, Downey, CA 90241-4985 | 2014-01-03 |
| 1164760948 | Applecare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 11525 Brookshire Ave, 400, Downey, CA 90241-4985 | 2013-01-29 |
| 1821370040 | Sharon George | Hospitalist | 11525 Brookshire Ave, #400, Downey, CA 90241-4985 | 2011-09-14 |
| 1215230297 | J. Bruce Jacobs, Md, Inc | Radiology | 11525 Brookshire Ave, Suite 111, Downey, CA 90241-4985 | 2010-12-13 |
| 1558683037 | Victoria Anna Reyman | Nurse Practitioner | 11525 Brookshire Ave, Suite 301, Downey, CA 90241-4985 | 2010-02-24 |
| 1659518355 | Vance C Eberly Md Inc | Specialist | 11525 Brookshire Ave, Suite 405, Downey, CA 90241-4985 | 2009-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029005 | Adam Lyle Barnhardt | Counselor | 11500 Paramont Blvd., Downey, CA 90241 | 2020-10-05 |
| 1922630482 | Betzabeth Benitez Perez | Counselor | Scadp, 11500 Paramount Blvd., Downey, CA 90241 | 2020-02-12 |
| 1457858714 | Diane Padre-gozun | Student in an Organized Health Care Education/Training Program | 11500 Brookshire Ave, Gme Office, Downey, CA 90241 | 2018-04-12 |
| 1295233963 | Community Family Guidance Center | Community/Behavioral Health | 12330 Woodruff Ave, Downey, CA 90241 | 2018-01-29 |
| 1487167433 | Progressive Medical Associates | Health Maintenance Organization | 6611 Seville Avenue, Huntington Park, CA 90241 | 2017-11-13 |
| 1194236018 | Dental Office of Downey Inc. | Clinic/Center | 10917 Paramounth Blvd, Downey, CA 90241 | 2017-10-18 |
| 1376063933 | Sophea Tim | Pharmacist | 11525 Brookshire Avenue Suite 400, Downey, CA 90241 | 2017-06-26 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| 1053844043 | Stephen Nealon Berberich | Internal Medicine | 1544 Downey Ave, Downey, CA 90241 | 2017-04-06 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| Find all providers in zip 90241 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982135281 | Adeline Manohar | Internal Medicine | 9449 Imperial Hwy # D, Downey, CA 90242-2888 | 2017-03-27 |
| 1225424187 | Davis Huang | Internal Medicine | 11500 Brookshire Ave., Downey, CA 90241 | 2015-04-07 |
| 1114344173 | Laura Frischer Ryan | Internal Medicine | 11480 Brookshire Ave Ste 200, Downey, CA 90241-5021 | 2014-03-27 |
| 1255777843 | Reza Sharafi Md Inc | Internal Medicine | 9818 Paramount Blvd Ste D, Downey, CA 90240-4407 | 2013-05-22 |
| 1659633931 | Nikki Hyunhee Park | Internal Medicine | 9449 E. Impertial Hwy, Internal Medicine At Kaiser Downey, Downey, CA 90242-2814 | 2012-06-12 |
| 1033470364 | Kyle Greene | Internal Medicine | Pih Health Hematology Oncology, 11480 Brookshire Avenue Suite 201, Downey, CA 90241 | 2012-06-04 |
| 1083844179 | Stephen Sam-fong Chen | Internal Medicine | 9333 Imperial Highway, Downey, CA 90242-2812 | 2009-07-23 |
| 1730352121 | Stephanie Wei-ying Chen | Internal Medicine | 7601 E. Imperial Highway, Hb 145, Rancho Los Amigos Rehabilitation Medical Center, Downey, CA 90242 | 2008-04-08 |
| 1417142779 | Behfar Gidanian | Internal Medicine | 7601 Imperial Hwy # 117, Downey, CA 90242-3456 | 2007-09-10 |
| 1245438332 | Kyi K San | Internal Medicine | 9701 Lakewood Blvd, Suite A, Downey, CA 90240-3311 | 2007-07-10 |
| Find all providers in DOWNEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.