Active NPI
Celina Quidachay Borja, NCMA, CES, NOTARY
- Social Worker
- Vancouver, WA
National Provider Identifier
1114634888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1221 SE Ellsworth Rd Apt S200
Vancouver, WA 98664-6256 - Phone
- (360) 334-0844
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 793039 | WA | |
| Home Health Aide | 374U00000X | WA | ||
| Recreational Therapist Assistant | 226000000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1221 SE Ellsworth Rd Apt S200
Vancouver, WA 98664-6256
Mailing address
1221 SE Ellsworth Rd Apt S200
Vancouver, WA 98664-6256
Phone (360) 334-0844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2220212 | Medicaid | WA |
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 |
|---|---|---|---|
| 793039 | WA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1114634888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 SE ELLSWORTH RD APT S200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986646256",
"telephone_number": "360-334-0844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 SE ELLSWORTH RD APT S200",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986646256",
"telephone_number": "360-334-0844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORJA",
"first_name": "CELINA",
"middle_name": "QUIDACHAY",
"name_prefix": "Mrs.",
"credential": "NCMA, CES, NOTARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "793039",
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "226000000X",
"taxonomy_group": "",
"desc": "Recreational Therapist Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2220212",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.