BALBOA NEPHROLOGY MEDICAL GROUP, INC.
NPI 1316997505
Internal Medicine - Nephrology in San Diego, CA
About Balboa Nephrology Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BALBOA NEPHROLOGY MEDICAL GROUP, INC. (NPI 1316997505) is a healthcare organization registered as a nephrology in San Diego, California and active in the NPI registry since May 2006. The organization holds 5 active CLIA laboratory certificates and lists Shaun Edelstein, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
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 Nephrology Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
85Medicare enrollment records show 85 clinicians reassign Medicare billing to Balboa Nephrology Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 36 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 85Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 5
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2111305
Balboa Nephrology Medical Group, Inc · San Diego, CACertificate of Waiver 05D0718833
Balboa Nephrology Medical Group Inc · San Diego, CACertificate of Waiver 05D1061616
Balboa Nephrology Medical Group · La Jolla, CACertificate of Waiver 05D1090945
Balboa Nephrology Medical Group Inc · La Mesa, CACertificate of Waiver 05D1091259
Balboa Nephrology Medical Group Inc · National City, CAFrequently 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 Nephrology Medical Group, Inc.'s NPI number?
The NPI number for Balboa Nephrology Medical Group, Inc. is 1316997505. It was assigned to this organization in the NPPES registry on May 11, 2006.
Where is Balboa Nephrology Medical Group, Inc. located?
Balboa Nephrology Medical Group, Inc. is located at 9373 Hazard Way Ste 200, San Diego, CA 92123. The listed phone number is (858) 810-8000.
What is Balboa Nephrology Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Balboa Nephrology Medical Group, Inc. enrolled in Medicare?
Yes. Balboa Nephrology Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Balboa Nephrology Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 85 clinicians in 7 Medicare specialties reassign their Medicare billing to Balboa Nephrology Medical Group, 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. The largest specialties are Nephrology (57), Nurse Practitioner (20) and General Surgery (3). Of these, 36 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Balboa Nephrology Medical Group, Inc. hold CLIA laboratory certificates?
Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Balboa Nephrology Medical Group, Inc. was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 Nephrology Medical Group, Inc. · NPI 1316997505
Nephrology organization in San Diego, California. Organization record, active in the CMS NPPES registry since May 11, 2006.
## Identity
- **NPI:** 1316997505 (Entity type: Organization)
- **Enumerated:** May 11, 2006
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **Organization subpart:** No
- **Authorized official:** Shaun Edelstein, CFO
## Practice location
- **Address:** 9373 HAZARD WAY STE 200, San Diego, CA 92123-1226
- **Phone:** (858) 810-8000 · **Fax:** (858) 268-1911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 85 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (57), Nurse Practitioner (20), General Surgery (3); 36 practice within 10 miles; [full list](https://npiprofile.com/npi/1316997505/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 9, 2026
- **CLIA laboratory certificates:** 5 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316997505) · Data from the CMS NPPES public registry.