Active NPI
Charles Anthony Borgia, M.D.
- Specialist
- San Jose, CA
National Provider Identifier
1255649752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A16899
- Practice address
- 2505 Samaritan Dr Ste 102
San Jose, CA 95124-4000 - Phone
- (408) 356-7171
- Fax
- (408) 356-9389
- NPI assigned
- Sep 17, 2010
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A16899 | CA | Primary |
Addresses
Primary practice location
2505 Samaritan Dr Ste 102
San Jose, CA 95124-4000
Mailing address
2505 Samaritan Dr Ste 102
San Jose, CA 95124-4000
Phone (408) 356-7171
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A16899 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Orthopedic & Medical GP. Inc | 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.
-
- Orthopaedic Surgery Physician
- San Jose, CA
- NPI 1912081951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284681600000",
"number": "1255649752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2505 SAMARITAN DR STE 102",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244000",
"telephone_number": "408-356-7171",
"fax_number": "408-356-9389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 SAMARITAN DR STE 102",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951244000",
"telephone_number": "408-356-7171",
"fax_number": "408-356-9389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGIA",
"first_name": "CHARLES",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-17",
"last_updated": "2010-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A16899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.