Balboa Hospital

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

License

LCS 15681 Issued in CA

Legal business name

BALBOA HOSPITAL

Practice address

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Phone

(619) 532-8441

NPI assigned

Dec 26, 2006

Last updated

Aug 22, 2020By 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

Ms. Elise Joy Vanda, LCSWNPI 1518106442

Title

Social Worker

Phone

(619) 532-8441

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elise J Vanda, LCSW

  • Clinical Social Worker
  • San Diego, CA
  • NPI 1518106442
  Authorized official Same address or phone

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306901988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-532-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "619-532-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALBOA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANDA",
        "authorized_official_first_name": "ELISE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "619-532-8441",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "CA",
            "license": "LCS 15681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Mae Cabral Balat, RN
• Lilit Balayan, DMD
• Balboa Ambulance Inc.
• Balboa Family Dentistry
• Balboa Healthcare, Inc. (Balboa Nursing & Rehabilitation Center)
• Balboa Nephrology Associates (Balboa Vascular Center)
• Balboa Nephrology Medical Group, Inc.
• Balboa Nephrology Medical Group,Inc. (San Diego Access and Surgery Center)
• Balboa Park Internal Medicine, Medical Associates Inc
• Balboa Surgical Institute, Inc.

• Military Hospital in San Diego, CA
• Providers in San Diego, CA by specialty
• Military Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.