OrganizationActive
Balboa Nephrology Med Grp Inc
NPI 1750569489 · Nephrology Physician · El Centro, CA
Balboa Nephrology Med Grp Inc is a Nephrology Physician organization in El Centro, CA (NPI 1750569489).
Provider details
- NPI number
- 1750569489
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephanie Wenceslao, Contracts & Credentialing(858) 810-8000
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
2205 Ross Ave
Suite 101
El Centro, CA 92243-3623
Phone: (760) 353-0404
Fax: (760) 353-0392
Street-level locationGet directions
Mailing address
9373 Hazard Way Ste 200
San Diego, CA 92123-1226
Registry dates
- Enumerated
- 2008-02-05
- Last updated
- 2026-01-16
- Certified
- 2026-01-16
Frequently asked questions
- What is Balboa Nephrology Med Grp Inc's NPI number?
- Balboa Nephrology Med Grp Inc's National Provider Identifier (NPI) is 1750569489, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Balboa Nephrology Med Grp Inc?
- Balboa Nephrology Med Grp Inc is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Balboa Nephrology Med Grp Inc located?
- Balboa Nephrology Med Grp Inc's practice location on file with NPPES is 2205 Ross Ave, El Centro, CA 92243-3623.
- What is Balboa Nephrology Med Grp Inc's phone number?
- The practice phone number listed in the NPPES registry for Balboa Nephrology Med Grp Inc is (760) 353-0404.
- Who is the authorized official for Balboa Nephrology Med Grp Inc?
- The authorized official listed on Balboa Nephrology Med Grp Inc's NPPES record is Stephanie Wenceslao, Contracts & Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Balboa Nephrology Med Grp Inc's NPI active?
- Yes — Balboa Nephrology Med Grp Inc's NPI (1750569489) is active in the NPPES registry as of the last update on 2026-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.