Gregory Michael Balourdas, M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

G51351 Issued in CA

Practice address

4101 Randolph St
San Diego, CA 92103-1342

Phone

(619) 291-2430

Fax

(619) 291-4048

NPI assigned

Mar 8, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194856427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 RANDOLPH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031342",
            "telephone_number": "619-291-2430",
            "fax_number": "619-291-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 RANDOLPH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031342",
            "telephone_number": "619-291-2430",
            "fax_number": "619-291-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALOURDAS",
        "first_name": "GREGORY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "G51351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Acuna Balmeo
• Vandana Baloda, MD
• Michelle Balogh
• Sydney Balogh
• Ben James Balough, MD
• Nyra Lynn Balquiedra, PHARM D
• Nicholas Baltar
• Amabelle Baltazar-Dennis, RN, BSN, PHN
• Deborah Ann Baltazar-Moore, LMT
• Daniel Baltazar

• Orthopaedic Hand Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthopaedic Hand Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.