Active NPI
Carmelina Borg, M.F.T.
- Marriage & Family Therapist
- Belmont, CA
National Provider Identifier
1275672602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC31211
- Practice address
- 974 Ralston Ave Ste 6
Belmont, CA 94002-2249 - Phone
- (650) 591-5852
- Fax
- (650) 634-0810
- NPI assigned
- Feb 5, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC31211 | CA | Primary |
Addresses
Primary practice location
974 Ralston Ave Ste 6
Belmont, CA 94002-2249
Mailing address
974 Ralston Ave Ste 6
Belmont, CA 94002-2249
Phone (650) 591-5852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80518 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC31211 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1275672602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "974 RALSTON AVE STE 6",
"city": "BELMONT",
"state": "CA",
"postal_code": "940022249",
"telephone_number": "650-591-5852",
"fax_number": "650-634-0810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "974 RALSTON AVE STE 6",
"city": "BELMONT",
"state": "CA",
"postal_code": "940022249",
"telephone_number": "650-591-5852",
"fax_number": "650-634-0810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORG",
"first_name": "CARMELINA",
"name_prefix": "Ms.",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC31211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80518",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belmont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.