Adolph Borunda

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

PT24798 Issued in CA

Practice address

11200 Avenue 368
Visalia, CA 93291-8940

Phone

(559) 735-1360

Fax

(559) 713-3296

NPI assigned

Dec 14, 2010

Last updated

Dec 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292284800000",
    "number": "1225331259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779394",
            "telephone_number": "559-624-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 AVENUE 368",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918940",
            "telephone_number": "559-735-1360",
            "fax_number": "559-713-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORUNDA",
        "first_name": "ADOLPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-14",
        "last_updated": "2010-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "PT24798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bungorn Boonsurmsuwongse, M.D.
• Isidro V Borbon, DRUG ABUSE COUNSELOR
• Beverly A Borella, PTA
• David J. Borge, MD
• Rodolfo Borrego, DSW LCSW
• Elisabeth A Bossingham, M.D.
• Amber Claire Botello, LMFT, BCBA
• Stella Botello, ASW
• Kaleigh Botill, DPT
• Troy K Bouit

• Licensed Psychiatric Technician in Visalia, CA
• Providers in Visalia, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2010; 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.