Active NPI
Elizabeth Zborowski, OT
- Occupational Therapist
- San Diego, CA
National Provider Identifier
1578027090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5815
- Practice address
- 1015 Moana Dr
San Diego, CA 92107-4106 - Phone
- (858) 205-9194
- NPI assigned
- Jan 29, 2019
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5815 | CA | Primary |
Addresses
Primary practice location
1015 Moana Dr
San Diego, CA 92107-4106
Mailing address
1015 Moana Dr
San Diego, CA 92107-4106
Phone (858) 205-9194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5815 | Other | CA | CALIFORNIA BOARD OF OCCUPATIONAL THERAPY |
Other names 1
- Elizabeth Jorgensen
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5815 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548720000000",
"number": "1578027090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 MOANA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921074106",
"telephone_number": "858-205-9194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 MOANA DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921074106",
"telephone_number": "858-205-9194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZBOROWSKI",
"first_name": "ELIZABETH",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2019-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "5815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF OCCUPATIONAL THERAPY",
"identifier": "5815",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "JORGENSEN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.