Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Balboa Nephrology Medical Group, Inc

Organization Transplant Surgery Physician · NPI 1316997505

Balboa Nephrology Medical Group, Inc is a Transplant Surgery Physician in San Diego, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9373 Hazard Way Ste 200
San Diego, CA 92123-1226
Phone: (858) 810-8000
Fax: (858) 268-1911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
Transplant Surgery Physician Taxonomy 204F00000X
Surgery Physician Taxonomy 208600000X
Vascular Surgery Physician Taxonomy 2086S0129X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1316997505
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shaun Edelstein — Cfo · (858) 810-8000
NPI enumeratedMay 11, 2006
Last updated in NPPESFebruary 9, 2026
Certification dateFebruary 9, 2026
Mailing address9373 Hazard Way Ste 200, San Diego, CA 92123-1226

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