Active NPI
Richard A Borghi, OD
- Occupational Vision Optometrist
- Granite Bay, CA
National Provider Identifier
1356312821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- 7138T
- Practice address
- 6049 Douglas Blvd
Suite 23
Granite Bay, CA 95746-6284 - Phone
- (916) 791-3388
- Fax
- (916) 791-1124
- NPI assigned
- Jan 31, 2006
- 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 |
|---|---|---|---|---|
| Occupational Vision Optometrist | 152WX0102X | 7138T | CA | Primary |
Addresses
Primary practice location
6049 Douglas Blvd
Suite 23
Granite Bay, CA 95746-6284
Mailing address
6049 Douglas Blvd
Suite 23
Granite Bay, CA 95746-6284
Phone (916) 791-3388
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7138T | CA | MD | Occupational Vision Optometrist |
| 7138 | CA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1356312821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6049 DOUGLAS BLVD",
"address_2": "SUITE 23",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957466284",
"telephone_number": "916-791-3388",
"fax_number": "916-791-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6049 DOUGLAS BLVD",
"address_2": "SUITE 23",
"city": "GRANITE BAY",
"state": "CA",
"postal_code": "957466284",
"telephone_number": "916-791-3388",
"fax_number": "916-791-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORGHI",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "CA",
"license": "7138T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granite Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.