Active NPI
Borrego Independent Physicians Association
- Family Medicine Physician
- San Diego, CA
National Provider Identifier
1588970313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A34382
- Legal business name
- BORREGO INDEPENDENT PHYSICIANS ASSOCIATION
- Practice address
- 955 Harbor Island Dr
Suite 162
San Diego, CA 92101-1035 - Phone
- (858) 344-5545
- NPI assigned
- Aug 31, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alfredo Ratniewski, M.D.
- Title
- Chairman of the Board
- Phone
- (760) 871-0606
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 58252 | CA | |
| Family Medicine Physician | 207Q00000X | A34382 | CA | Primary |
| Internal Medicine Physician | 207R00000X | C42220 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | 20A8287 | CA | |
| Pediatrics Physician | 208000000X | A77736 | CA | |
| Podiatrist | 213E00000X | E1514 | CA |
Addresses
Primary practice location
955 Harbor Island Dr
Suite 162
San Diego, CA 92101-1035
Mailing address
955 Harbor Island Dr
Suite 162
San Diego, CA 92101-1035
National Provider Directory
National Provider Directory- Tax ID family
- Borrego Independent Physicians Association
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Contractor
- San Diego, CA
- NPI 1093093767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283212800000",
"number": "1588970313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 HARBOR ISLAND DR",
"address_2": "SUITE 162",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 HARBOR ISLAND DR",
"address_2": "SUITE 162",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921011035",
"telephone_number": "858-344-5545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BORREGO INDEPENDENT PHYSICIANS ASSOCIATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-31",
"last_updated": "2010-08-31",
"status": "A",
"authorized_official_last_name": "RATNIEWSKI",
"authorized_official_first_name": "ALFREDO",
"authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
"authorized_official_telephone_number": "760-871-0606",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "58252",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A34382",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "C42220",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "20A8287",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A77736",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist",
"state": "CA",
"license": "E1514",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 31, 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.