Active NPI
Thomas Alan Boragno, PHARM D
- Pharmacist
- Newport Beach, CA
National Provider Identifier
1225667132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 35445
- Practice address
- 716 E Balboa Blvd
Newport Beach, CA 92661-1306 - Phone
- (949) 673-5370
- NPI assigned
- Apr 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 35445 | CA | Primary |
Addresses
Primary practice location
716 E Balboa Blvd
Newport Beach, CA 92661-1306
Mailing address
460 E 16TH St
Costa Mesa, CA 92627-3266
Phone (949) 689-7731
Other practice location 1
2865 E Coast Hwy Ste 150
Corona Del Mar, CA 92625-2256
Phone (949) 644-7575
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35445 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CDM Pharmacy | Pharmacist | Past | Accepting new patients |
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": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585785600000",
"number": "1225667132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 E 16TH ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273266",
"telephone_number": "949-689-7731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 E BALBOA BLVD",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926611306",
"telephone_number": "949-673-5370"
}
],
"practiceLocations": [
{
"address_1": "2865 E Coast Hwy Ste 150",
"address_purpose": "LOCATION",
"city": "Corona Del Mar",
"state": "CA",
"postal_code": "926252256",
"country_code": "US",
"telephone_number": "949-644-7575",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BORAGNO",
"first_name": "THOMAS",
"middle_name": "ALAN",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "35445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.