Active NPI
Nicole Marie Borba, D.C.
- Chiropractor
- Sacramento, CA
National Provider Identifier
1568645463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 30245
- Practice address
- 4362 Auburn Blvd
Sacramento, CA 95841-4107 - Phone
- (916) 481-6828
- Fax
- (916) 481-6830
- NPI assigned
- Dec 13, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 30245 | CA | Primary |
Addresses
Primary practice location
4362 Auburn Blvd
Sacramento, CA 95841-4107
Mailing address
4362 Auburn Blvd
Sacramento, CA 95841-4107
Phone (916) 481-6828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230526000474 | TN | Practitioner - Chiropractic | 8224113501 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bradshaw Chiropractic PLLC | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Old Hickory, TN
- NPI 1740864727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1568645463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4362 AUBURN BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958414107",
"telephone_number": "916-481-6828",
"fax_number": "916-481-6830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4362 AUBURN BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958414107",
"telephone_number": "916-481-6828",
"fax_number": "916-481-6830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORBA",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-13",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "30245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.