Richelle Bornales

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3912 Rustic LN
Vacaville, CA 95688-9762

Phone

(917) 513-7667

NPI assigned

Jul 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1295572436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 RUSTIC LN",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889762",
            "telephone_number": "917-513-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3912 RUSTIC LN",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889762",
            "telephone_number": "917-513-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNALES",
        "first_name": "RICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95335432",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CA",
            "license": "95335432",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shihan Mary Bolz, L. AC.
• Marnel Malonzo Bondoc, D.O.
• Giovanni Dyre Bonner, IDMT
• Maly Boonsalat, RBT
• Grace Borchik, DPT
• Bruce Bosler, D.D.S
• Kelsey Bostick
• Hilary Boswell, RBT
• Taylor Faye Bothe-Yates
• Alexandra Grace Boucher

• Student in an Organized Health Care Education/Training Program in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.