Active NPI
Dina Borichevskiy
- Nurse Practitioner
- Sacramento, CA
National Provider Identifier
1124653761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95014483
- Practice address
- 4001 J St
Sacramento, CA 95819-3626 - Phone
- (916) 733-6421
- NPI assigned
- Mar 4, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 799861 | CA | |
| Nurse Practitioner | 363L00000X | 95014483 | CA | Primary |
Addresses
Primary practice location
4001 J St
Sacramento, CA 95819-3626
Mailing address
8108 Highwood Way
Orangevale, CA 95662-3130
Phone (916) 832-6383
Other practice location 1
4250 Auburn Blvd
Sacramento, CA 95841-4164
Phone (916) 489-3336
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dina.borichevskiy@dignityhealth.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicine Physicians Incorporated | Current | Accepting new patients | |
| Umer Malik Corporation | Past | Accepting new patients |
Locations
4250 Auburn Blvd
Sacramento, CA 95841
Phone (916) 305-7032
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Sacramento, CA
- NPI 1982113494
-
- Internal Medicine Physician
- Sacramento, CA
- NPI 1831570977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1124653761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8108 HIGHWOOD WAY",
"city": "ORANGEVALE",
"state": "CA",
"postal_code": "956623130",
"telephone_number": "916-832-6383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958193626",
"telephone_number": "916-733-6421"
}
],
"practiceLocations": [
{
"address_1": "4250 Auburn Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958414164",
"country_code": "US",
"telephone_number": "916-489-3336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORICHEVSKIY",
"first_name": "DINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "799861",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95014483",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dina.borichevskiy@dignityhealth.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "4001 J St",
"city": "Sacramento",
"state": "CA",
"country_code": "US",
"postal_code": "958193626",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.