Active NPI
Juliana Rodriguez Bohorquez, MD
- Aerospace Medicine Physician
- San Diego, CA
National Provider Identifier
1326624370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Aerospace Medicine Physician
- License
- 01088416A
- Practice address
- 2496 Bauer Rd
San Diego, CA 92126 - Phone
- (619) 881-9011
- NPI assigned
- Mar 21, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 01088416A | IN | |
| Aerospace Medicine Physician | 2083A0100X | 01088416A | IN | Primary |
Addresses
Primary practice location
2496 Bauer Rd
San Diego, CA 92126
Mailing address
2496 Bauer Rd
San Diego, CA 92126
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 |
|---|---|---|---|
| 01088416A | IN | MD | Aerospace Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1326624370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2496 BAUER RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2496 BAUER RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92126",
"telephone_number": "619-881-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ BOHORQUEZ",
"first_name": "JULIANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-21",
"last_updated": "2023-08-03",
"certification_date": "2023-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01088416A",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "IN",
"license": "01088416A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.