Individual provider Active NPI

Mark M. Boiskin, M.D.

  • Nephrology Physician
  • La Jolla, CA
National Provider Identifier
1437154143
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A52055 Issued in CA
Practice address
9834 Genesee Ave
Ste 312
La Jolla, CA 92037-1223
Phone
(858) 558-8150
Fax
(858) 346-1024
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A52055 CA Primary

Addresses

Primary practice location

9834 Genesee Ave
Ste 312
La Jolla, CA 92037-1223

Mailing address

9373 Hazard Way Ste 200
San Diego, CA 92123-1226
Phone (858) 810-0000

Other identifiers 3

IdentifierTypeStateIssuer
AQ039XOtherCANO. CALIFORNIA PTAN
WA52055LOtherCASO. CALIFORNIA PTAN
A520550OtherCALICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040625001163 CA Practitioner - NephrologyPractitioner - Internal Medicine 0648180067 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balboa Nephrology Medical Group IncGroup PAC ID 9638164015, 78 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

11100 Warner Ave
Suite 218
Fountain Valley, CA 92708-7511
Phone (714) 641-9696

16466 Bernardo Ctr Dr
Suite 230
San Diego, CA 92128-2533
Phone (858) 558-8150

320 Santa Fe Dr
Suite 212
Encinitas, CA 92024-5139
Phone (858) 558-8150

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

8885 Rio San Diego Dr
Suite 212
San Diego, CA 92108-1626
Phone (619) 299-2350

9834 Genesee Ave
Suite 312
La Jolla, CA 92037-1221
Phone (858) 558-8150

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 457-4123

Hospital & facility affiliations

  • Fmcna Dialysis Services of Rancho Dialysis facility, San Diego, CA, CCN 552516
  • Scripps Memorial Hospital la Jolla Hospital, La Jolla, CA, CCN 050324
  • Scripps Memorial Hospital - Encinitas Hospital, Encinitas, CA, CCN 050503
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234
  • Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Apr 2, 2001 Accepting new patients
Balboa Nephrology Medical Group, Inc. Nephrology CurrentSince Mar 1, 2011 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 19, 2010 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Apr 2, 2001 Accepting new patients
Balboa Nephrology Medical Group,Inc. CurrentSince Mar 1, 2011 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Past Accepting new patients
Scripps Clinic Medical Group, Inc Past Accepting new patients
Palomar Health Past Accepting new patients

Locations

737 W Hobsonway
Blythe, CA 92225
Phone (760) 922-4415

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

320 Santa Fe Dr
Ste 212
Encinitas, CA 92024
Phone (760) 452-3340

354 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 230-2251

631 E Grand Ave
Escondido, CA 92025
Phone (760) 294-1660

11100 Warner Ave
Ste 218
Fountain Vly, CA 92708
Phone (714) 424-0290

4225 Executive Sq
Ste 450
La Jolla, CA 92037
Phone (858) 810-8000

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

9834 Genesee Ave
Ste 312
La Jolla, CA 92037
Phone (858) 453-7128

3300 Vista Way
Ste B
Oceanside, CA 92056
Phone (760) 967-9569

15708 Pomerado Rd
Ste N205
Poway, CA 92064
Phone (858) 487-5732

15708 Pomerado Rd
#N205
Poway, CA 92064
Phone (858) 487-5732

16466 Bernardo Center Dr
Ste 230
San Diego, CA 92128
Phone (858) 558-8150

9610 Granite Ridge Dr
Ste B
San Diego, CA 92123
Phone (858) 499-1900

9373 Hazard Way
Ste 200
San Diego, CA 92123
Phone (858) 810-8000

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4060 4th Ave
Ste 220
San Diego, CA 92103
Phone (619) 299-2350

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mboiskin28379@scrippshlth.medalliesdirect.net
  • Direct secure messaging: mboiskin10377@direct.acumenmd.com

Organizations & group practices 9

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1437154143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9373 HAZARD WAY STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231226",
            "telephone_number": "858-810-0000",
            "fax_number": "858-268-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "STE 312",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371223",
            "telephone_number": "858-558-8150",
            "fax_number": "858-346-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOISKIN",
        "first_name": "MARK",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A52055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NO. CALIFORNIA PTAN",
            "identifier": "AQ039X",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SO. CALIFORNIA PTAN",
            "identifier": "WA52055L",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A520550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.