Michael Freitas Borges, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G72319 Issued in CA

Practice address

1801 E. March LN.
Ste 360
Stockton, CA 95210-6675

Phone

(209) 951-1178

Fax

(916) 733-6985

NPI assigned

Jul 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Anesthesiology Consultants Medical Group, Inc.

  • Anesthesiology Physician
  • Stockton, CA
  • NPI 1972534048
  NPD (past)
• Barry K Wilson MD Inc

  • Anesthesiology Physician
  • Stockton, CA
  • NPI 1790107829
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467331200000",
    "number": "1467452235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E. MARCH LN.",
            "address_2": "STE 360",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106675",
            "telephone_number": "209-951-1178",
            "fax_number": "916-733-6985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORGES",
        "first_name": "MICHAEL",
        "middle_name": "FREITAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2016-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G72319",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G72319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467452235",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aliza Vyanca Astorga Boongaling
• Michaella Ilsa Booth
• Marlene Angela Boothe
• Monaliza Dumlao Borca, COMMUNITY HEALTH WOR
• Nileen Borges-Akau
• Carmencita Giselle Bersamin Borillo, LMFT
• Stephanie Borja-Johnson, AUD
• John Borra
• Taren Ashley Borrero-Zolliecoffer
• Allison Ilene Borsuk-Georgandas

• Anesthesiology Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.