Borrego Stat Care Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BORREGO STAT CARE INC

Practice address

587 Palm Canyon Dr # 215
Borrego Springs, CA 92004-4000

Phone

(760) 837-0321

Fax

(760) 837-9114

NPI assigned

Jan 24, 2024

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monica Lucero

Title

Office Manager

Phone

(760) 837-0321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Fitzgerald

  • Physician Assistant
  • Vallejo, CA
  • NPI 1407596166
  Medicare reassignment Care Compare group NPD
• Homayoun Siman, MD

  • General Practice Physician
  • Palm Desert, CA
  • NPI 1477971125
  Medicare reassignment Care Compare group NPD
• James Joseph Hansler, PA-C

  • Physician Assistant
  • New York, NY
  • NPI 1487253357

  CA

  Medicare reassignment Care Compare group NPD (past)
• Kassia Talaiefar, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Riverside, RI
  • NPI 1720709272

  CA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1225890346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "BORREGO SPRINGS",
            "state": "CA",
            "postal_code": "920040960",
            "telephone_number": "760-284-1044",
            "fax_number": "760-284-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 PALM CANYON DR # 215",
            "city": "BORREGO SPRINGS",
            "state": "CA",
            "postal_code": "920044000",
            "telephone_number": "760-837-0321",
            "fax_number": "760-837-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORREGO STAT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-837-0321"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Alise Baker-Fortiner, MPT
• Borrego Community Health Foundation (Woolcott Dental)
• Borrego Community Health Foundation (Borrego Pharmacy)
• Borrego Springs Fire Protection District
• Borrego Springs Unified School District
• Paul J. Califano, D.P.M.
• Joseph George Cerjan, M.D.
• Claudia Baker-Fortiner, PT (Fortiner Physical Therapy)
• Dap Health, Inc. (DAP Health-Woolcott Dental Clinic)
• Dap Health, Inc. (DAP Health-Borrego Springs Community Health Center)

• General Practice Physician in Borrego Springs, CA
• Providers in Borrego Springs, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.