BALBOA SURGICAL ASSOCIATES INC.
NPI 1205599149
Surgery - Vascular Surgery in Fullerton, CA
About Balboa Surgical Associates Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BALBOA SURGICAL ASSOCIATES INC. (NPI 1205599149) is a healthcare organization registered as a vascular surgery in Fullerton, California and active in the NPI registry since October 2021. The organization lists Diana Hart, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Balboa Surgical Associates Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Balboa Surgical Associates Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Balboa Surgical Associates Inc.'s NPI number?
The NPI number for Balboa Surgical Associates Inc. is 1205599149. It was assigned to this organization in the NPPES registry on October 18, 2021.
Where is Balboa Surgical Associates Inc. located?
Balboa Surgical Associates Inc. is located at 2501 E Chapman Ave Ste 220, Fullerton, CA 92831. The listed phone number is (949) 872-5192.
What is Balboa Surgical Associates Inc.'s specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Balboa Surgical Associates Inc. enrolled in Medicare?
Yes. Balboa Surgical Associates Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Balboa Surgical Associates Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to Balboa Surgical Associates Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Balboa Surgical Associates Inc. was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Balboa Surgical Associates Inc. · NPI 1205599149
Vascular Surgery organization in Fullerton, California. Organization record, active in the CMS NPPES registry since October 18, 2021.
## Identity
- **NPI:** 1205599149 (Entity type: Organization)
- **Enumerated:** October 18, 2021
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Diana Hart, BILLING MANAGER
## Practice location
- **Address:** 2501 E CHAPMAN AVE STE 220, Fullerton, CA 92831-3108
- **Phone:** (949) 872-5192
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Vascular Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 18, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1205599149) · Data from the CMS NPPES public registry.