Individual provider Active NPI

Celina Francesca De Borja, MD

  • Pediatric Sports Medicine Physician
  • Boston, MA
National Provider Identifier
1174044341
Registry record updated Aug 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sports Medicine PhysicianTaxonomy code 2080S0010X
License
A162846 Issued in CA
Practice address
319 Longwood Ave Ste 6
Boston, MA 02115-5710
Phone
(857) 218-4924
Fax
(617) 730-0683
NPI assigned
Jun 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A162846 CA
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Sports Medicine Physician 2080S0010X A162846 CA Primary
Pediatric Sports Medicine Physician 2080S0010X 274478 MA

Addresses

Primary practice location

319 Longwood Ave Ste 6
Boston, MA 02115-5710

Mailing address

550 16TH St
San Francisco, CA 94143-2549
Phone (415) 353-2967

Other practice location 1

1945 State Route 33
Neptune, NJ 07753-4859
Phone (732) 776-4267

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924000952 CA Practitioner - Pediatric Medicine 8628308350 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A162846CAMDPediatric Sports Medicine Physician
274478MAMDPediatric Sports Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Aug 23, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 23, 2019 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Aug 23, 2019 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
University of California San Francisco Pediatrics CurrentSince Aug 23, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Aug 23, 2019 Accepting new patients
University of California San Francisco Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

550 16th St
San Francisco, CA 94143
Phone (415) 353-1238

1825 4th St
Fl 5
San Francisco, CA 94143
Phone (415) 353-2101

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

550 16th St
#5430
San Francisco, CA 94143

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1100 Park Pl
San Mateo, CA 94403
Phone (415) 502-8940

Interoperability endpoints

  • Direct secure messaging: cdeborja111412@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566604800000",
    "number": "1174044341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 16TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432549",
            "telephone_number": "415-353-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 LONGWOOD AVE STE 6",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155710",
            "telephone_number": "857-218-4924",
            "fax_number": "617-730-0683"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1945 State Route 33",
            "address_purpose": "LOCATION",
            "city": "Neptune",
            "state": "NJ",
            "postal_code": "077534859",
            "country_code": "US",
            "telephone_number": "732-776-4267",
            "fax_number": "723-443-2776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE BORJA",
        "first_name": "CELINA FRANCESCA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-28",
        "last_updated": "2019-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A162846",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "CA",
            "license": "A162846",
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": "MA",
            "license": "274478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.