Individual provider Active NPI

Danielle Borm

  • Athletic Trainer
  • Chula Vista, CA
National Provider Identifier
1215516190
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
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

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Point Loma Nazarene University CurrentSince Apr 11, 2021 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.

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.

Verify at the official NPI Registry.