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Export Provider Record NPI 1083637052
Shirish K BalachandraMD
Active
NPI Number1083637052
NPI TypeNPI-1 Individual
SpecialtyFamily Medicine
Provider Details
NPI1083637052
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-07-25
Last Updated2025-07-22
Mailing Address3015 Poinsettia Dr
San Diego, CA 92106-1014
United States
Phone: (858) 327-4943
📍 View Map
Primary Practice Address900 Main St
Brawley, CA 92227-2630
United States
Phone: (858) 327-4943
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)CA192481Medical Board of California
MEDICAIDNY261491
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207Q00000X – Family MedicineNY261491
Yes207Q00000X – Family MedicineCA192481
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About NPI 1083637052

Shirish K Balachandra MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1083637052. The primary specialty listed is Family Medicine. The provider is located in Brawley, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1083637052?

NPI 1083637052 belongs to Shirish K Balachandra MD, a Family Medicine in Brawley, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1083637052 active?

The current status of NPI 1083637052 in the NPPES registry is Active. The record was last updated on 2025-07-22.

What specialty is NPI 1083637052?

NPI 1083637052 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1083637052?

You can verify NPI 1083637052 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1083637052?

The primary practice address on file for NPI 1083637052 is 900 Main St, Brawley, CA 92227-2630. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1083637052 issued?

NPI 1083637052 was first issued (enumerated) on 2006-07-25. The NPPES record was last updated on 2025-07-22.

Practice Location Map

Shirish K Balachandra is located at 900 Main St, Brawley, CA. Use the map below to find directions or verify the practice location.

📍 900 Main St, Brawley, CA 92227-2630  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Shirish K Balachandra. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1083637052. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Family Medicine261491NY
Family Medicine192481CA
Data Verified from CMS NPPES Last synced: 2026-06-21 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162