Individual provider Active NPI

Tricia Ann Borchers, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Rancho Cucamonga, CA
National Provider Identifier
1407908841
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15992 Issued in CA
Practice address
7777 Milliken Ave Ste 240
Rancho Cucamonga, CA 91730-6781
Phone
(909) 429-2864
Fax
(909) 429-2868
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15992 CA Primary

Addresses

Primary practice location

7777 Milliken Ave Ste 240
Rancho Cucamonga, CA 91730-6781

Mailing address

7777 Milliken Ave Ste 240
Rancho Cucamonga, CA 91730-6781
Phone (909) 429-2864

Other identifiers 1

IdentifierTypeStateIssuer
15992OtherCAPHYSICIAN ASSISTANT LICEN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250806004138 CA Practitioner - Physician Assistant 3779876693 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cucamonga Valley Medical Group IncGroup PAC ID 6709899883, 24 clinicians

Practice addresses (Care Compare)

1310 San Bernardino Rd
Suite 105
Upland, CA 91786-4985
Phone (909) 985-1891

16465 Sierra Lakes Pkwy
Fontana, CA 92336-1242
Phone (909) 429-2864

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1407908841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE STE 240",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306781",
            "telephone_number": "909-429-2864",
            "fax_number": "909-429-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 MILLIKEN AVE STE 240",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306781",
            "telephone_number": "909-429-2864",
            "fax_number": "909-429-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORCHERS",
        "first_name": "TRICIA",
        "middle_name": "ANN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "15992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICEN",
            "identifier": "15992",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.