Active NPI
Joseph Irving Borden, D.P.M.
- Podiatrist
- Reseda, CA
National Provider Identifier
1023029360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E1970
- Practice address
- 19231 Victory Blvd
#204
Reseda, CA 91335-6308 - Phone
- (818) 342-6109
- Fax
- (818) 342-4825
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E1970 | CA | Primary |
Addresses
Primary practice location
19231 Victory Blvd
#204
Reseda, CA 91335-6308
Mailing address
19231 Victory Blvd
#204
Reseda, CA 91335-6308
Phone (818) 342-6109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E19701 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1970 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Community Care | Past | Accepting new patients | |
| West Hills Hospital | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- General Acute Care Hospital
- West Hills, CA
- NPI 1023065729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1023029360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19231 VICTORY BLVD",
"address_2": "#204",
"city": "RESEDA",
"state": "CA",
"postal_code": "913356308",
"telephone_number": "818-342-6109",
"fax_number": "818-342-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19231 VICTORY BLVD",
"address_2": "#204",
"city": "RESEDA",
"state": "CA",
"postal_code": "913356308",
"telephone_number": "818-342-6109",
"fax_number": "818-342-4825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDEN",
"first_name": "JOSEPH",
"middle_name": "IRVING",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E1970",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E19701",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Reseda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.