Fresenius Medical Care Balboa, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

FRESENIUS MEDICAL CARE BALBOA, LLC

Practice address

630 Bay Blvd Ste 101
Chula Vista, CA 91910-5262

Phone

(619) 420-6725

Fax

(619) 420-6736

NPI assigned

May 27, 2009

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Denise Wright

Title

Vice President

Phone

(781) 676-5200

Specialties & licenses 1

Addresses

Other names 1

• FRESENIUS MEDICAL CARE MARINA BAY Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Fresenius Medical Care Balboa, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1376784389

  4183774029

  Same PAC ID
• Fresenius Medical Care Balboa, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chula Vista, CA
  • NPI 1588988646

  4183774029

  Same PAC ID
• Fresenius Medical Care Balboa, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • El Centro, CA
  • NPI 1598097982

  4183774029

  Same PAC ID
• Fresenius Medical Care Balboa, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1982292827

  4183774029

  Same PAC ID

Listed as

Fresenius Medical Care Marina BayCCN 052731

Overall star rating

4.0 of 5

Ownership

Profit

Certified

Jun 14, 1993

Medicare certification status

ActiveFrom the Provider of Services file

Chain

Fresenius Medical Care

Dialysis stations

31

Tax ID family

Ability Network6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Fresenius Medical Care Balboa, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1376784389
  NPD tax ID
• Fresenius Medical Care Balboa, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chula Vista, CA
  • NPI 1588988646
  NPD tax ID
• Fresenius Medical Care Balboa, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • El Centro, CA
  • NPI 1598097982
  NPD tax ID
• Fresenius Medical Care Balboa, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1811572092
  NPD tax ID
• Fresenius Medical Care Balboa, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Diego, CA
  • NPI 1982292827
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

Locations

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Adam K Horeish, MD

  • Nephrology Physician
  • Chula Vista, CA
  • NPI 1760461206

  Dialysis facility

  Care Compare affiliation Name & address match
• Kathy Khaing, MD

  • Nephrology Physician
  • Chula Vista, CA
  • NPI 1912219155

  Dialysis facility

  Care Compare affiliation Name & address match
• Jennifer Pham, MD

  • Nephrology Physician
  • Chula Vista, CA
  • NPI 1235629932

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1801021399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BAY BLVD STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105262",
            "telephone_number": "619-420-6725",
            "fax_number": "619-420-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BAY BLVD STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105262",
            "telephone_number": "619-420-6725",
            "fax_number": "619-420-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESENIUS MEDICAL CARE BALBOA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2009-05-27",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-676-5200"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1300 SE Cardinal Ct Ste 190",
            "city": "Vancouver",
            "state": "WA",
            "country_code": "US",
            "postal_code": "986839683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FRESENIUS MEDICAL CARE MARINA BAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Leo Freer, DMD
• Maricela Fregoso, BA
• Tonianne French, M.D.
• Dwight A Frerichs, DMD, MS
• Fresenius Medical Care Balboa, LLC
• Fresenius Medical Care East Lakes, LLC
• Jeannine Lee Frey, SLP
• Esther Frias
• Edward Bruce Friedman, M.D.
• Jessica Friedman

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.