Individual provider Active NPI

Jeffrey Burke Halldorson, M.D.

  • Surgery Physician
  • San Diego, CA
National Provider Identifier
1558446351
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G86089 Issued in CA
Practice address
8010 Frost St Ste 100
San Diego, CA 92123-4222
Phone
(858) 637-4700
Fax
(858) 637-4701
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G86089 CA
Surgery Physician 208600000X G86089 CA Primary
Transplant Surgery Physician 204F00000X G86089 CA

Addresses

Primary practice location

8010 Frost St Ste 100
San Diego, CA 92123-4222

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
G86089OtherCACA LICENSE

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
I20121226000065 CA Practitioner - General Surgery 3870620057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Michigan Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8010 Frost St
Suite 100
San Diego, CA 92123-4222
Phone (858) 637-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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

LicenseStateTypeSpecialty
G86089CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Balboa Nephrology Medical Group, Inc. Transplant Surgery CurrentSince Oct 7, 2017 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince May 1, 2015 Accepting new patients
Balboa Nephrology Medical Group,Inc. CurrentSince Oct 7, 2017 Accepting new patients
Sharp Healthcare Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

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

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

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

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

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

8010 Frost St
Ste 510
San Diego, CA 92123
Phone (858) 278-9900

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

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

8010 Frost St
Ste 100
San Diego, CA 92123
Phone (858) 637-4700

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jhalldorson10412@direct.acumenmd.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1558446351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9373 HAZARD WAY STE 200",
            "address_2": "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": "8010 FROST ST STE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234222",
            "telephone_number": "858-637-4700",
            "fax_number": "858-637-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLDORSON",
        "first_name": "JEFFREY",
        "middle_name": "BURKE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G86089",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G86089",
            "primary": true
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "G86089",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "G86089",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.