DR. GREGORY MICHAEL BALOURDAS


Address: 4101 Randolph St, San Diego, CA 92103-1342
Phone: 6192912430

DR. GREGORY MICHAEL BALOURDAS (NPI# 1194856427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194856427
Entity Type Individual
Full Name DR. GREGORY MICHAEL BALOURDAS
Credential M.D.
Practice Address 4101 Randolph St
San Diego
CA 92103-1342
Practice Telephone 6192912430
Practice Fax Number 6192914048
Mailing Telephone 6192912430
Mailing Fax Number 6192914048
Enumeration Date 2007-03-08
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
G51351 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 4101 RANDOLPH ST
City SAN DIEGO
State CA
Zip Code 92103-1342

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518206507 Gregory M. Balourdas, M.d., Inc. Orthopaedic Surgery 4101 Randolph St, San Diego, CA 92103-1342 2013-02-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140057 Carmel Agdeppa Acupuncturist Chiropractique, 813 West Washington St., San Diego, CA 92103 2020-06-26
1568082717 Salina Ann Bambic Social Worker 302 Washington Street Suite 420, San Diego, CA 92103 2020-04-17
1467099432 Lina Hong Behavior Technician 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 2019-12-09
1154964567 Rodger Stacy Questin, Psychologist P.C. Psychologist 440 Upas St Apt 402, San Diego, CA 92103 2019-10-18
1932740388 Grace Tong-ventura Pharmacist 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 2019-10-07
1306490453 Genevieve Cheung Pharmacist 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 2019-07-26
1801356837 Marika Doviak Acupuncturist 2370 Hickory St, San Diego, CA 92103 2019-03-25
1982185070 Tyler Lewis Roberts Counselor 4303 3rd Ave, San Diego, CA 92103 2018-08-27
1689151284 Tori Breanne Blackwell Occupational Therapist 3731-a 6th Avenue, San Diego, CA 92103 2018-07-26
1952892614 Pacific Bay Recovery Inc Substance Abuse Rehabilitation Facility 4095 Jackdaw St, San Diego, CA 92103 2018-05-29
Find all providers in zip 92103

Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932547536 Hassan Jon Azimi Orthopaedic Surgery 8008 Frost St Ste 403, San Diego, CA 92123-4209 2013-06-06
1518589357 Hassan J Azimi Md Inc Orthopaedic Surgery 8008 Frost St Ste 403, San Diego, CA 92123-4209 2020-05-14
1528444171 Lindsey Urband Md Corp Orthopaedic Surgery 8008 Frost St, Suite 403, San Diego, CA 92123-4205 2015-08-05
1518206507 Gregory M. Balourdas, M.d., Inc. Orthopaedic Surgery 4101 Randolph St, San Diego, CA 92103-1342 2013-02-11
1912235482 Samantha Lee Piper Orthopaedic Surgery 5893 Copley Dr, Kaiser Permanente Garfield Specialty Center, San Diego, CA 92111-7906 2009-11-22
1740422997 Lindsey Starr Urband Orthopaedic Surgery 8008 Frost St, Suite 403, San Diego, CA 92123-4205 2009-04-02
1669547857 Leo T Kroonen Orthopaedic Surgery 34800 Bob Wilson Dr, Nmcsd, San Diego, CA 92134-1098 2006-11-22
1225130677 Regents of The University of California-ucsd Medical Group Orthopaedic Surgery 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 2006-09-05
1548371925 Byron King Orthopaedic Surgery 3939 Ruffin Rd Ste 101, San Diego, CA 92123-1815 2006-08-31
1720050321 Brian Fitzgerald Orthopaedic Surgery 34800 Bob Wilson Dr, San Diego, CA 92134-1098 2006-02-07
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92103

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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