Active NPI
Danielle Borm
- Athletic Trainer
- Chula Vista, CA
National Provider Identifier
1215516190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 2800 Olympic Pkwy
Chula Vista, CA 91915-6002 - Phone
- (619) 656-1500
- NPI assigned
- Apr 6, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
2800 Olympic Pkwy
Chula Vista, CA 91915-6002
Mailing address
3900 Lomaland Dr
San Diego, CA 92106-2899
Phone (619) 849-2200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dborm760@pointloma.edu | Point Loma Nazarene University |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Point Loma Nazarene University | Current | Accepting new patients |
Locations
3900 Lomaland Dr
San Diego, CA 92106
Phone (619) 849-2200
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- San Diego, CA
- NPI 1851934798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1215516190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 LOMALAND DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921062899",
"telephone_number": "619-849-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 OLYMPIC PKWY",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919156002",
"telephone_number": "619-656-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORM",
"first_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-06",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dborm760@pointloma.edu",
"affiliation": "Y",
"endpointDescription": "email",
"affiliationName": "Point Loma Nazarene University",
"address_1": "3900 Lomaland Dr",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921062899",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.