BALBOA PARK INTERNAL MEDICINE, MEDICAL ASSOCIATES INC
NPI 1679620868
Specialist in San Diego, CA

Q: What is Balboa Park Internal Medicine, Medical Associates Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since January 03, 2007

2970 5TH AVE, SUITE #140, SAN DIEGO, CA 92103(619) 260-3456 Get Directions Write a Review

NPPES record last updated: April 27, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Balboa Park Internal Medicine, Medical Associates Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BALBOA PARK INTERNAL MEDICINE, MEDICAL ASSOCIATES INC (NPI 1679620868) is a healthcare organization registered as a specialist in San Diego, California and active in the NPI registry since January 2007. The organization lists Gary Woodall, President, as its authorized official.

NPPES Registry Identity

NPI1679620868

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameBALBOA PARK INTERNAL MEDICINE, MEDICAL ASSOCIATES INC

Location Address2970 5TH AVE, SUITE #140San Diego, CA 92103-5929

Mailing Address2970 5th Ave, Suite #140San Diego, CA 92103-5929 · (619) 260-3456

Phone(619) 260-3456

Organization SubpartNo

Authorized OfficialGary WoodallPresident · (619) 260-3456

Enumeration DateJanuary 3, 2007

Last NPPES UpdateApril 27, 2011

✔ NPI 1679620868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · A54031

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2970 5TH AVE, San Diego, CA 92103

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Other Identifiers 1

Medicare UPING13481CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Balboa Park Internal Medicine, Medical Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateCaliforniaEnrollment IDO20050512000522Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Balboa Park Internal Medicine, Medical Associates Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gary Woodall, M.D.

Internal Medicine

NPI 1427168301

2970 5TH AVE SUITE 140
San Diego, CA 92103

(619) 260-3456

✔ PECOS✔ Accepts MedicareSame address

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 Park Internal Medicine, Medical Associates Inc's NPI number?

The NPI number for Balboa Park Internal Medicine, Medical Associates Inc is 1679620868. It was assigned to this organization in the NPPES registry on January 3, 2007.

Where is Balboa Park Internal Medicine, Medical Associates Inc located?

Balboa Park Internal Medicine, Medical Associates Inc is located at 2970 5th Ave Suite #140, San Diego, CA 92103. The listed phone number is (619) 260-3456.

What is Balboa Park Internal Medicine, Medical Associates Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Balboa Park Internal Medicine, Medical Associates Inc enrolled in Medicare?

Yes. Balboa Park Internal Medicine, Medical Associates Inc is registered in the Medicare PECOS enrollment system.

When is Balboa Park Internal Medicine, Medical Associates Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Balboa Park Internal Medicine, Medical Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Balboa Park Internal Medicine, Medical 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 Park Internal Medicine, Medical Associates Inc was last updated on April 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.