NPIMap

Organization Active NPI

Borrego Community Health Foundation

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1053717280
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BORREGO COMMUNITY HEALTH FOUNDATION
Practice address
955 Harbor Island Dr
Suite 155
San Diego, CA 92101-1069
Phone
(619) 344-2815
NPI assigned
Nov 17, 2014
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Antonio Rosselli
Title
Director of Managed Care Operations
Phone
(619) 344-2815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

955 Harbor Island Dr
Suite 155
San Diego, CA 92101-1069

Mailing address

955 Harbor Island Dr.
Suite 155
San Diego, CA 92101-1034
Phone (619) 344-2815

National Provider Directory

National Provider Directory
Tax ID family
Borrego Community Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

955 Harbor Island Dr
Ste 155
San Diego, CA 92101
Phone (619) 344-2815

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73178

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1053717280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 HARBOR ISLAND DR.",
            "address_2": "SUITE 155",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011034",
            "telephone_number": "619-344-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 HARBOR ISLAND DR",
            "address_2": "SUITE 155",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011069",
            "telephone_number": "619-344-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORREGO COMMUNITY HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "ROSSELLI",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE OPERATIONS",
        "authorized_official_telephone_number": "619-344-2815"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.