1. Home
  2. Directory
  3. California
  4. El Centro
  5. Internal Medicine
  6. NPI Profile

BALBOA NEPHROLOGY MEDICAL GROUP,INC.
NPI 1790962199
Internal Medicine - Nephrology in El Centro, CA

Active since January 28, 2008
790 W ORANGE AVE, STE B, EL CENTRO, CA 92243(760) 353-0404(760) 353-5391 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2026, Feb 8, 2021 (2 updates tracked since 2021).

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 1790962199) is a healthcare organization registered as a nephrology in El Centro, California and active in the NPI registry since January 2008. The organization lists Stephanie Wenceslao, Contracts & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1790962199
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameBALBOA NEPHROLOGY MEDICAL GROUP,INC.
Location Address790 W ORANGE AVE, STE BEl Centro, CA 92243-3274
Mailing Address9373 Hazard Way Ste 200San Diego, CA 92123-1226 · (858) 810-8000 · Fax (858) 268-1911
Phone(760) 353-0404
Fax(760) 353-5391
Organization SubpartNo
Authorized OfficialStephanie WenceslaoContracts & Credentialing · (858) 810-8000
Enumeration DateJanuary 28, 2008
Last NPPES UpdateJanuary 16, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1790962199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
790 W ORANGE AVE, El Centro, CA 92243
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATHAR M. ANSARI M D INC.
Internal Medicine (Cardiovascular Disease)
790 W ORANGE AVE, STE B
EL CENTRO, CA 92243
Imperial County (760) 353-3222
GEORGE R. HANCOCK M.D., INC
Internal Medicine (Pulmonary Disease)
790 W ORANGE AVE, SUITE C
EL CENTRO, CA 92243
Imperial County (760) 352-6766
DR. ATHAR MASOOD ANSARI M.D.
Internal Medicine (Interventional Cardiology)
790 W ORANGE AVE, STE. B
EL CENTRO, CA 92243
Imperial County (760) 353-3222
PATRICK WOLCOTT, MD, INC
Internal Medicine (Pulmonary Disease)
790 W ORANGE AVE, SUITE C
EL CENTRO, CA 92243
Imperial County (760) 353-8811
PATRICK WOLCOTT MD
Specialist
790 W ORANGE AVE, SUITE D
EL CENTRO, CA 92243
Imperial County (760) 353-8858

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 Nephrology Medical Group,inc.'s NPI number?

The NPI number for Balboa Nephrology Medical Group,inc. is 1790962199. It was assigned to this organization in the NPPES registry on January 28, 2008.

Where is Balboa Nephrology Medical Group,inc. located?

Balboa Nephrology Medical Group,inc. is located at 790 W Orange Ave Ste B, El Centro, CA 92243. The listed phone number is (760) 353-0404.

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.

When was this NPI record last updated?

The NPPES record for Balboa Nephrology Medical Group,inc. was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.