BALBOA NEPHROLOGY ASSOCIATES NPI 1811791304

NPI Information

  • NPI: 1811791304
  • Provider Name: BALBOA NEPHROLOGY ASSOCIATES
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 6402 EL CAJON BLVD STE 100
    SAN DIEGO, CA
    ZIP 92115
  • Phone: (619) 582-4490

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NPI Details

BALBOA NEPHROLOGY ASSOCIATES is an ambulatory surgical clinic center in San Diego, CA. BALBOA NEPHROLOGY ASSOCIATES NPI is 1811791304. The provider is registered as an organization entity type.

The provider's business location address is:

6402 EL CAJON BLVD STE 100
SAN DIEGO, CA
ZIP 92115-645
Phone: (619) 582-4490
Fax: (619) 582-4737

The provider's authorized official is Shaun Edelstein .
The authorized official title is Cfo and has the following contact phone number (619) 454-1127.

The enumeration date for this NPI number is 4/3/2025 and was last updated on 4/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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