Individual provider Active NPI

David S. Namazy, M.D.

  • Nephrology Physician
  • San Diego, CA
National Provider Identifier
1477558013
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A74630 Issued in CA
Practice address
6402 El Cajon Blvd Ste 100
San Diego, CA 92115-2645
Phone
(619) 582-4490
Fax
(619) 582-4737
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 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 A74630 CA Primary

Addresses

Primary practice location

6402 El Cajon Blvd Ste 100
San Diego, CA 92115-2645

Mailing address

9373 Hazard Way Ste 200
San Diego, CA 92123-1226
Phone (858) 810-8000

Other identifiers 1

IdentifierTypeStateIssuer
A74630OtherCALICENSE

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
I20041025000878 CA Practitioner - NephrologyPractitioner - Internal Medicine 2163483959 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical School at Houston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
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)

6402 El Cajon Blvd
San Diego, CA 92115-2645
Phone (619) 582-4490

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

Hospital & facility affiliations

  • FMC Dialysis Services of College Dialysis facility, San Diego, CA, CCN 052886
  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A74630CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 1, 2007 Accepting new patients
Scripps Health Current Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jul 1, 2002 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jul 1, 2002 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients

Locations

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

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

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

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

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: david.namazy.p164@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: dnamazy10444@direct.acumenmd.com
  • Direct secure messaging: dnamazy81383@scrippshlth.medalliesdirect.net

Organizations & group practices 6

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 2

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1477558013",
    "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": "858-810-8000",
            "fax_number": "858-268-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6402 EL CAJON BLVD STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921152645",
            "telephone_number": "619-582-4490",
            "fax_number": "619-582-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMAZY",
        "first_name": "DAVID",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A74630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A74630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.