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BALBOA NEPHROLOGY ASSOCIATES
NPI 1811791304
Clinic/Center - Ambulatory Surgical in San Diego, CA

Active since April 03, 2025CLIA 05D2325709 · Waiver
6402 EL CAJON BLVD STE 100, SAN DIEGO, CA 92115(619) 582-4490(619) 582-4737 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Balboa Nephrology Associates NPPES

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

BALBOA NEPHROLOGY ASSOCIATES (NPI 1811791304), doing business as Balboa Vascular Center, is a healthcare organization registered as an ambulatory surgical in San Diego, California and active in the NPI registry since April 2025. The organization holds a CLIA Waiver certificate valid through June 17, 2027 and lists Shaun Edelstein, Cfo, as its authorized official.

NPPES Registry Identity

NPI1811791304
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameBALBOA NEPHROLOGY ASSOCIATES
Location Address6402 EL CAJON BLVD STE 100San Diego, CA 92115-2645
Mailing Address6402 El Cajon Blvd Ste 100San Diego, CA 92115-2645 · (619) 582-4490 · Fax (619) 582-4737
Phone(619) 582-4490
Fax(619) 582-4737
Organization SubpartNo
Authorized OfficialShaun EdelsteinCfo · (619) 454-1127
Enumeration DateApril 3, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1811791304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6402 EL CAJON BLVD STE 100, San Diego, CA 92115
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Other Names 1

Doing Business AsBalboa Vascular Center

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 05D2325709

Balboa Nephrology Associates Dba Balboa Vascular C · San Diego, CA
Active · expires Jun 17, 2027
CLIA Number05D2325709
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 18, 2025
Certificate Expiration DateJune 17, 2027
Laboratory DirectorDavid S. Namazy
Laboratory Phone(619) 582-4490
Laboratory LocationBalboa Nephrology Associates Dba Balboa Vascular C6402 El Cajon Boulevard, Suite 100, San Diego, CA 92115
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 2

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

BALBOA NEPHROLOGY MEDICAL GROUP,INC.
Clinic/Center (Ambulatory Surgical)
6402 EL CAJON BLVD STE 100
SAN DIEGO, CA 92115
San Diego County (619) 582-4490
DR. TERRY L. BEHREND M.D.
Internal Medicine (Nephrology)
6402 EL CAJON BLVD STE 100
SAN DIEGO, CA 92115
San Diego County (619) 582-4490

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 Associates's NPI number?

The NPI number for Balboa Nephrology Associates is 1811791304. It was assigned to this organization in the NPPES registry on April 3, 2025. The provider is doing business as Balboa Vascular Center.

Where is Balboa Nephrology Associates located?

Balboa Nephrology Associates is located at 6402 El Cajon Blvd Ste 100, San Diego, CA 92115. The listed phone number is (619) 582-4490.

What is Balboa Nephrology Associates's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Balboa Nephrology Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2325709) is associated with this NPI, valid through June 17, 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 Balboa Nephrology Associates was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.