Active NPI
Ed Jose Borrego, M.D.
- Psychiatry Physician
- El Paso, TX
National Provider Identifier
1356342075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- M0670
- Practice address
- 5750 N Mesa St
El Paso, TX 79912-5427 - Phone
- (915) 842-9585
- Fax
- (915) 842-9581
- NPI assigned
- Aug 3, 2005
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | M0670 | TX | Primary |
Addresses
Primary practice location
5750 N Mesa St
El Paso, TX 79912-5427
Mailing address
5736 N Mesa St
El Paso, TX 79912-5427
Phone (915) 842-9585
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00336Z | Other | TX | MEDICARE PTAN |
| 176353401 | Medicaid | TX |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M0670 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1356342075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5736 N MESA ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799125427",
"telephone_number": "915-842-9585",
"fax_number": "915-842-9581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5750 N MESA ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799125427",
"telephone_number": "915-842-9585",
"fax_number": "915-842-9581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORREGO",
"first_name": "ED",
"middle_name": "JOSE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "M0670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "00336Z",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176353401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.