Organization Active NPI

Borrego Independent Physicians Association

  • Contractor
  • San Diego, CA
National Provider Identifier
1093093767
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
BORREGO INDEPENDENT PHYSICIANS ASSOCIATION
Practice address
955 Harbor Island Dr Ste 162
San Diego, CA 92101-1082
Phone
(619) 704-3770
Fax
(619) 704-3775
NPI assigned
Jul 29, 2011
Last updated
Jul 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Karen Hebets
Title
Administrative
Phone
(619) 704-3770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

955 Harbor Island Dr Ste 162
San Diego, CA 92101-1082

Mailing address

955 Harbor Island Dr Ste 162
San Diego, CA 92101-1082
Phone (619) 704-3770

National Provider Directory

National Provider Directory
Tax ID family
Borrego Independent Physicians Association2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

955 Harbor Island Dr
Ste 162
San Diego, CA 92101
Phone (619) 704-3770

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1093093767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 HARBOR ISLAND DR STE 162",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011082",
            "telephone_number": "619-704-3770",
            "fax_number": "619-704-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 HARBOR ISLAND DR STE 162",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921011082",
            "telephone_number": "619-704-3770",
            "fax_number": "619-704-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORREGO INDEPENDENT PHYSICIANS ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "HEBETS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "619-704-3770"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "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 Jul 29, 2011; 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.