Balboa Nephrology Associates

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BALBOA NEPHROLOGY ASSOCIATES

Doing business as

Balboa Vascular Center

Practice address

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

Phone

(619) 582-4490

Fax

(619) 582-4737

NPI assigned

Apr 3, 2025

Last updated

Apr 3, 2025By 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

Shaun Edelstein

Title

Cfo

Phone

(619) 454-1127

Specialties & licenses 1

Addresses

Other names 1

• Balboa Vascular Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Bijal Vinod Patel, M.D.

  • Nephrology Physician
  • San Diego, CA
  • NPI 1639266026
  NPD

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1811791304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "BALBOA NEPHROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "EDELSTEIN",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "619-454-1127"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balboa Vascular Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lilit Balayan, DMD
• Balboa Ambulance Inc.
• Balboa Family Dentistry
• Balboa Healthcare, Inc. (Balboa Nursing & Rehabilitation Center)
• Balboa Hospital
• 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.
• Balboa Therapy Center

• Ambulatory Surgical Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.