Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Balboa Nephrology Med Grp Inc

Organization Nephrology Physician · NPI 1750569489

Balboa Nephrology Med Grp Inc provides Nephrology Physician services in El Centro, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2205 Ross Ave Ste 101
El Centro, CA 92243-3623
Phone: (760) 353-0404
Fax: (760) 353-0392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X (CA)

Record details

NPI number1750569489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephanie Wenceslao — Contracts & Credentialing · (858) 810-8000
NPI enumeratedFebruary 5, 2008
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026
Mailing address9373 Hazard Way Ste 200, San Diego, CA 92123-1226

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