Gregory M Balourdas


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

Gregory M Balourdas (NPI# 1194856427, PAC ID# 5193761427) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HAND SURGERY.

Physician Overview

Nation Provider ID (NPI) 1194856427
PAC ID by PECOS 5193761427
Professional Enrollment ID I20050707001008
Full Name Gregory M Balourdas
Address 4101 Randolph St
San Diego
CA 92103-1342
Gender M
Credential MD
Medical School CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1982
Primary Specialty HAND SURGERY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050100 SHARP MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
4101 Randolph St, San Diego, CA 92103-1342
7901 Frost St, San Diego, CA 92123-2701 8589393400 EMERGENCY AND ACUTE CARE MEDICAL CORPORATION

Organization Information

Office Location

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

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Name Specialty Organization Address
Peter E Cadman Nephrology Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Patrick Pablo Registered Dietitian Or Nutrition Professional Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Kelli Gray-meisner Registered Dietitian Or Nutrition Professional Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Lovella S Hailey Nurse Practitioner Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Valerie L Waters Nurse Practitioner Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Jennifer A Dorward Nurse Practitioner Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Erika Albani Family Practice Regents of The University of California - Ucsd Medical Group 200 W Arbor Dr, San Diego, CA 92103-0001
Sharon Grodner Psychologist, Clinical 2278 Pine St, San Diego, CA 92103-1153
Stephanie L Lessig Neurology Regents of The University of California - Ucsd Medical Group 4311 3rd Ave, San Diego, CA 92103-1407
Hossein Ansari Neurology Regents of The University of California - Ucsd Medical Group 4311 3rd Ave, San Diego, CA 92103-1407
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Competitor

Search similar physicians

City SAN DIEGO
Zip Code 92103
Specialty HAND SURGERY
City + Specialty SAN DIEGO + HAND SURGERY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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