FRESENIUS MEDICAL CARE BALBOA, LLC
NPI 1811572092
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in San Diego, CA

Q: What is Fresenius Medical Care Balboa, LLC's NPI number?

The NPI number for Fresenius Medical Care Balboa, LLC is 1811572092. It was assigned to this organization in the NPPES registry on March 10, 2021. The provider is doing business as The Kidney Center Of San Diego.

Q: What is Fresenius Medical Care Balboa, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Active since March 10, 2021CLIA 05D2229942 · Waiver

3939 RUFFIN RD STE 100, SAN DIEGO, CA 92123(858) 868-2675(858) 285-7760 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Fresenius Medical Care Balboa, Llc NPPES

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

FRESENIUS MEDICAL CARE BALBOA, LLC (NPI 1811572092), doing business as The Kidney Center Of San Diego, is a healthcare organization registered as an end-stage renal disease (esrd) treatment in San Diego, California and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists James Joseph Divito, Vp, as its authorized official.

NPPES Registry Identity

NPI1811572092

Entity TypeOrganization

Primary Taxonomy261QE0700X

Legal Business NameFRESENIUS MEDICAL CARE BALBOA, LLC

Location Address3939 RUFFIN RD STE 100San Diego, CA 92123-1804

Mailing Address3939 Ruffin Rd Ste 100San Diego, CA 92123-1804 · (858) 868-2675 · Fax (858) 285-7760

Phone(858) 868-2675

Fax(858) 285-7760

Organization SubpartYesParent: Fresenius Medical Care Holdings, Inc.

Authorized OfficialJames Joseph DivitoVp · (781) 699-9172

Enumeration DateMarch 10, 2021

NPPES CertifiedFebruary 19, 2021

✔ NPI 1811572092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities

Taxonomy Code261QE0700X

3939 RUFFIN RD STE 100, San Diego, CA 92123

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Other Names 1

Doing Business AsThe Kidney Center Of San Diego

CLIA Laboratory Certificates CMS CLIA

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 05D2229942

Fresenius Medical Care Balboa, LLC Dba Fresenius Kidney Care Home Trn Ctr Of Sd · San Diego, CA

Active · expires Jul 18, 2027

CLIA Number05D2229942

Laboratory TypeEnd Stage Renal Disease Dialysis Facility

Certificate Effective DateJuly 19, 2025

Certificate Expiration DateJuly 18, 2027

Laboratory DirectorBijal Patel

Laboratory Phone(858) 868-2675

Laboratory LocationFresenius Medical Care Balboa, LLC Dba Fresenius Kidney Care Home Trn Ctr Of Sd3939 Ruffin Road Suite 100, San Diego, CA 92123

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

FRESENIUS MEDICAL CARE BALBOA, LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

3939 RUFFIN RD STE 100
SAN DIEGO, CA 92123

San Diego County (858) 868-2675

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 Fresenius Medical Care Balboa, LLC's NPI number?

The NPI number for Fresenius Medical Care Balboa, LLC is 1811572092. It was assigned to this organization in the NPPES registry on March 10, 2021. The provider is doing business as The Kidney Center Of San Diego.

Where is Fresenius Medical Care Balboa, LLC located?

Fresenius Medical Care Balboa, LLC is located at 3939 Ruffin Rd Ste 100, San Diego, CA 92123. The listed phone number is (858) 868-2675.

What is Fresenius Medical Care Balboa, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

Does Fresenius Medical Care Balboa, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2229942) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fresenius Medical Care Balboa, LLC was last updated on March 10, 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.