Balboa Nephrology Medical Group, Inc.
NPI 1316997505ActiveOrganization· Internal Medicine, Nephrology· San Diego, CA
Internal Medicine, Nephrology in San Diego, California, registered in NPPES in May 2006. The authorized official on file is Shaun Edelstein, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316997505 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 11, 2006 |
| Last updated in NPPES | Feb 9, 2026 |
| Certified by provider | Feb 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | — | — |
| Transplant Surgery | 204F00000X | — | — |
| Surgery | 208600000X | — | — |
| Surgery, Vascular Surgery | 2086S0129X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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