Balboa Surgical Associates Inc.
NPI 1205599149 · Vascular Surgery Physician · Fullerton, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Balboa Surgical Associates Inc. is a Vascular Surgery Physician organization in Fullerton, CA (NPI 1205599149).
Provider details
- NPI number
- 1205599149
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Diana Hart, Billing Manager(949) 872-5192
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-10-18
- Last updated
- 2021-10-18
- Certified
- 2021-10-18
Frequently asked questions
- What is Balboa Surgical Associates Inc.'s NPI number?
- Balboa Surgical Associates Inc.'s National Provider Identifier (NPI) is 1205599149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Balboa Surgical Associates Inc.?
- Balboa Surgical Associates Inc. is classified in the NPPES registry as Vascular Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Balboa Surgical Associates Inc. located?
- Balboa Surgical Associates Inc.'s practice location on file with NPPES is 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108.
- What is Balboa Surgical Associates Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Balboa Surgical Associates Inc. is (949) 872-5192.
- Does Balboa Surgical Associates Inc. accept Medicare?
- Balboa Surgical Associates Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Balboa Surgical Associates Inc.?
- The authorized official listed on Balboa Surgical Associates Inc.'s NPPES record is Diana Hart, Billing Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Balboa Surgical Associates Inc.'s NPI active?
- Yes — Balboa Surgical Associates Inc.'s NPI (1205599149) is active in the NPPES registry as of the last update on 2021-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.