Organization Active NPI

Madhusudan Borde M.D. Inc.

  • Cardiovascular Disease Physician
  • Vallejo, CA
National Provider Identifier
1063696581
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MADHUSUDAN BORDE M.D. INC.
Practice address
1460 N Camino Alto Ste 111
Vallejo, CA 94589-2567
Phone
(707) 557-3200
Fax
(707) 557-3201
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Dr. Madhusudan Borde, MDNPI 1437210754
Title
Chief Executive Officer
Phone
(707) 557-3200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

1460 N Camino Alto Ste 111
Vallejo, CA 94589-2567

Mailing address

1460 N Camino Alto Ste 111
Vallejo, CA 94589-2567
Phone (707) 557-3200

National Provider Directory

National Provider Directory

Locations

1460 N Camino Alto
Ste 111
Vallejo, CA 94589
Phone (707) 557-3200

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1063696581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 N CAMINO ALTO STE 111",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892567",
            "telephone_number": "707-557-3200",
            "fax_number": "707-557-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 N CAMINO ALTO STE 111",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892567",
            "telephone_number": "707-557-3200",
            "fax_number": "707-557-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADHUSUDAN BORDE M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "BORDE",
        "authorized_official_first_name": "MADHUSUDAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "707-557-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.