Balboa Family Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

36725 Issued in CA

Legal business name

BALBOA FAMILY DENTISTRY

Practice address

3737 Moraga Ave Ste B307
San Diego, CA 92117-5360

Phone

(858) 412-5397

NPI assigned

Jul 17, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gilbert Amthor, DDS

Title

Owner

Phone

(858) 412-5397

Specialties & licenses 1

Addresses

Tax ID family

Carlsbad Family Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carlsbad Family Dentistry

  • Dental Clinic/Center
  • Carlsbad, CA
  • NPI 1225523855
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073036539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B307",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175360",
            "telephone_number": "858-412-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 MORAGA AVE STE B307",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921175360",
            "telephone_number": "858-412-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALBOA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AMTHOR",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-412-5397",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "36725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorddy Balandran
• Alyssa Lauren Balasco, LCSW
• Maggie Mae Cabral Balat, RN
• Lilit Balayan, DMD
• Balboa Ambulance Inc.
• Balboa Healthcare, Inc. (Balboa Nursing & Rehabilitation Center)
• Balboa Hospital
• Balboa Nephrology Associates (Balboa Vascular Center)
• Balboa Nephrology Medical Group, Inc.
• Balboa Nephrology Medical Group,Inc. (San Diego Access and Surgery Center)

• Dental Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.