Active NPI
Glenn Mark Balfour, M.D.
- Neurology Physician
- Carlsbad, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- A86632
- Practice address
- 785 Grand Ave Ste 218
Carlsbad, CA 92008-2371 - Phone
- (442) 500-8851
- Fax
- (442) 500-8681
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Spinal Cord Injury Medicine Physician | 2081P0004X | A86632 | CA | |
| Neurology Physician | 2084N0400X | A86632 | CA | Primary |
Addresses
Primary practice location
785 Grand Ave Ste 218
Carlsbad, CA 92008-2371
Mailing address
5520 Los Robles Dr
Carlsbad, CA 92008-4424
Phone (760) 845-8884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BF428Z | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090121000637 | CA | Practitioner - Neurology | 0840354783 | Practice locations: Sacramento, CA; Carlsbad, CA |
| O20151218000774 | CA | DME Supplier - Physician - General Surgery | 4082937446 | Practice locations: Sacramento, CA |
| O20180828001748 | CA | DME Supplier - Physician - Neurology | 4082937446 | Practice locations: Carlsbad, CA |
| O20250731001350 | CA | DME Supplier - Physician - Neurology | 4082937446 | Practice locations: National City, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
5350 Madison Ave
Sacramento, CA 95841-3169
Phone (916) 677-0008
550 E 8TH St
Suite 1
National City, CA 91950-2355
5520 Los Robles Dr
Carlsbad, CA 92008-2371
785 Grand Ave
Suite 218
Carlsbad, CA 92008-2371
Phone (619) 773-6255
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethesda Physical Therapy and Rehabilitation Services Inc. | Current | Accepting new patients | |
| West Coast Medical Care Professional Corporation | Past | Accepting new patients | |
| Good Health Medical Inc | Past | Accepting new patients | |
| Michael Samko, PH.D., Inc. | Past | Accepting new patients |
Locations
3142 E Plaza Blvd
Ste T
National City, CA 91950
Phone (619) 246-1136
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- National City, CA
- NPI 1700492949
-
- Geriatric Medicine (Internal Medicine) Physician
- Sacramento, CA
- NPI 1710857933
-
- Psychologist
- Oceanside, CA
- NPI 1740232727
-
- Adult Medicine Physician
- Sacramento, CA
- NPI 1861888331
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- General Acute Care Hospital
- Chula Vista, CA
- NPI 1194898486
-
- General Acute Care Hospital
- National City, CA
- NPI 1356410351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1104931542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 LOS ROBLES DR",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920084424",
"telephone_number": "760-845-8884",
"fax_number": "442-500-8681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 GRAND AVE STE 218",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082371",
"telephone_number": "442-500-8851",
"fax_number": "442-500-8681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALFOUR",
"first_name": "GLENN",
"middle_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0004X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "CA",
"license": "A86632",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "A86632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "BF428Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.