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

Balboa Nephrology Medical Group, Inc

Organization Nephrology Physician · NPI 1790962199

Balboa Nephrology Medical Group, Inc is a Nephrology Physician in El Centro, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

790 W Orange Ave Ste B
El Centro, CA 92243-3274
Phone: (760) 353-0404
Fax: (760) 353-5391
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X (CA)

Record details

NPI number1790962199
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Wenceslao — Contracts & Credentialing · (858) 810-8000
NPI enumeratedJanuary 28, 2008
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address9373 Hazard Way Ste 200, San Diego, CA 92123-1226

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