Individual provider Active NPI

Daniela Borgia, PA

  • Physician Assistant
  • Carson City, NV
National Provider Identifier
1144230558
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA780 Issued in NV
Practice address
550 W Washington St
Suite 1
Carson City, NV 89703-3829
Phone
(775) 883-3953
Fax
(775) 885-2785
NPI assigned
Aug 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA780 NV Primary

Addresses

Primary practice location

550 W Washington St
Suite 1
Carson City, NV 89703-3829

Mailing address

550 W Washington St
Suite 1
Carson City, NV 89703-3829
Phone (775) 883-3953

Other identifiers 1

IdentifierTypeStateIssuer
002013067MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000719 NV Practitioner - Physician Assistant 0446148829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007271NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Carson Tahoe Physician Clinics CurrentSince Feb 21, 2018 Accepting new patients
CTH Physicians Clinic Current Accepting new patients
Provider Network, Inc Past Accepting new patients
Renown Urgent Care LLC Physician Assistant Past Accepting new patients

Locations

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

775 Fleischmann Way
Carson City, NV 89703
Phone (775) 445-5632

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144230558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W WASHINGTON ST",
            "address_2": "SUITE 1",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033829",
            "telephone_number": "775-883-3953",
            "fax_number": "775-885-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W WASHINGTON ST",
            "address_2": "SUITE 1",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033829",
            "telephone_number": "775-883-3953",
            "fax_number": "775-885-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGIA",
        "first_name": "DANIELA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002013067",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.