Active NPI
Balboa Surgical Institute, Inc.
- Ambulatory Surgical Clinic/Center
- San Diego, CA
National Provider Identifier
1275006173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- BALBOA SURGICAL INSTITUTE, INC.
- Practice address
- 7625 Mesa College Drive
Suite 315a
San Diego, CA 92111-5343 - Phone
- (858) 576-1011
- Fax
- (858) 576-1025
- NPI assigned
- Jan 3, 2019
- Organization subpart
- Yes
- Parent organization
- DOUGLAS DOBECKI, M.D., INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas A. Dobecki Jr., M.D.
- Title
- President
- Phone
- (858) 576-1011
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
7625 Mesa College Drive
Suite 315a
San Diego, CA 92111-5343
Mailing address
7625 Mesa College Drive
Suite 315a
San Diego, CA 92111-5343
Phone (858) 576-1011
National Provider Directory
National Provider Directory- Part of
- Douglas Dobecki Medical Doctor Incorporated
Locations
7625 Mesa College Dr
Ste 315A
San Diego, CA 92111
Phone (858) 576-1011
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- San Diego, CA
- NPI 1346213329
-
- Physician Assistant
- Carlsbad, CA
- NPI 1235838665
-
- Physician Assistant
- Poway, CA
- NPI 1194483644
-
- Acute Care Nurse Practitioner
- San Diego, CA
- NPI 1730357229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546473600000",
"number": "1275006173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7625 MESA COLLEGE DRIVE",
"address_2": "SUITE 315A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921115343",
"telephone_number": "858-576-1011",
"fax_number": "858-576-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7625 MESA COLLEGE DRIVE",
"address_2": "SUITE 315A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921115343",
"telephone_number": "858-576-1011",
"fax_number": "858-576-1025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALBOA SURGICAL INSTITUTE, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DOUGLAS DOBECKI, M.D., INC.",
"enumeration_date": "2019-01-03",
"last_updated": "2019-01-03",
"status": "A",
"authorized_official_last_name": "DOBECKI",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-576-1011",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.