Active NPI
Jim Borgardt, LMFT
- Marriage & Family Therapist
- Santa Monica, CA
National Provider Identifier
1053435578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 46040
- Practice address
- 2801 Ocean Park Blvd # 346
Santa Monica, CA 90405-2905 - Phone
- (424) 229-2122
- NPI assigned
- Mar 19, 2007
- Last updated
- May 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC46040 | CA | |
| Marriage & Family Therapist | 106H00000X | 46040 | CA | Primary |
Addresses
Primary practice location
2801 Ocean Park Blvd # 346
Santa Monica, CA 90405-2905
Mailing address
2801 Ocean Park Blvd # 346
Santa Monica, CA 90405-2905
Phone (424) 229-2122
Other names 1
- James Borgardt
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46040 | CA | MD | Marriage & Family Therapist |
| MFC46040 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Borgardt Psychotherapy | Current | Accepting new patients | |
| Brighter Tomorrow Family Therapy Inc | Marriage & Family Therapist | Past | Accepting new patients |
| Kohan International Foundation | Marriage & Family Therapist | Past | Accepting new patients |
Locations
2801 Ocean Park Blvd
Santa Monica, CA 90405
Phone (310) 386-2109
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Monica, CA
- NPI 1003656836
-
- Mental Health Counselor
- Culver City, CA
- NPI 1376407841
Marriage & Family Therapist
-
- Marriage & Family Therapist
- Culver City, CA
- NPI 1538424049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715212800000",
"number": "1053435578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 OCEAN PARK BLVD # 346",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904052905",
"telephone_number": "424-229-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 OCEAN PARK BLVD # 346",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904052905",
"telephone_number": "424-229-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGARDT",
"first_name": "JIM",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-19",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC46040",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "46040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "BORGARDT",
"credential": "LMFT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.