Guadalupe Borbon

Primary specialty

Respite CareTaxonomy code 385H00000X

License

BH6103 Issued in AZ

Practice address

5986 S Herpa Dr
Tucson, AZ 85706-4927

Phone

(619) 920-3029

NPI assigned

May 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Devereux Foundation

  • Adolescent and Children Mental Health Clinic/Center
  • Phoenix, AZ
  • NPI 1306939368
  NPD (past)

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1124640321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5986 S HERPA DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857064927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5986 S HERPA DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857064927",
            "telephone_number": "619-920-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORBON",
        "first_name": "GUADALUPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "BH6103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPT OF HEALTH SERVICES",
            "identifier": "BH6103",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samhita Chowdhary Boppana, MD
• Bor Surgical First Assist PLLC
• Adam Borboa
• David Borboa, DPT
• Tony B Borboa, M.D.
• Ivan Borbon, DO
• Jennifer Marie Borbon, FNP-C
• Jessica Borbon, FNP-C
• Emily Elizabeth Borchers, PT, DPT
• Timothy Michael Borden, PT

• Respite Care in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.