Balboa Nephrology Medical Group Inc

A Medicare group practice based in San Diego, CA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 9638164015), with 88 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9638164015The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
1
Group size
78 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
19In 16 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040415001031 CA Part B Supplier - Clinic/Group Practice 1316997505

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 88

Clinicians who reassign their Medicare benefits to this group (88) or whom Care Compare lists as members (78).

Sources for this page