BALBOA NEPHROLOGY MEDICAL GROUP, INC. – NPI #1316997505
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

BALBOA NEPHROLOGY MEDICAL GROUP, INC. is a provider located in SAN DIEGO, CA. NPPES has assigned the NPI number 1316997505 to BALBOA NEPHROLOGY MEDICAL GROUP, INC. on May 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Feb 09, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BALBOA NEPHROLOGY MEDICAL GROUP, INC. below.

NPI Profile for
BALBOA NEPHROLOGY MEDICAL GROUP, INC.

NPI Number
1316997505
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BALBOA NEPHROLOGY MEDICAL GROUP, INC.
Primary location
9373 HAZARD WAY STE 200
SAN DIEGO, CA 92123-1226
Phone: (858) 810-8000 Fax: (858) 268-1911
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHAUN EDELSTEIN
CFO
Phone: (858) 810-8000
Updated
Certification Date
Feb 09, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BALBOA NEPHROLOGY MEDICAL GROUP, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICARE PTAN ORANGE COUNTYCACB251966
otherMEDICARE PTAN, NO CACAZZZ04938Z
otherMEDICARE PTAN, SO CACAW1487
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.