Individual provider Active NPI

Deborah E Borne, MD

  • Family Medicine Physician
  • San Francisco, CA
National Provider Identifier
1598892580
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A75224 Issued in CA
Practice address
50 Lech Walesa
Tom Waddell
San Francisco, CA 94102-4506
Phone
(415) 355-7540
Fax
(415) 355-7401
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 224785 NY
Family Medicine Physician 207Q00000X A75224 CA Primary

Addresses

Primary practice location

50 Lech Walesa
Tom Waddell
San Francisco, CA 94102-4506

Mailing address

50 Lech Walesa
Tom Waddell
San Francisco, CA 94102-4506
Phone (415) 355-7540

Other identifiers 1

IdentifierTypeStateIssuer
965913OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080117000782 CA Practitioner - Family Practice 0547341331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Warren Alpert Medical School of Brown University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
City and County of San FranciscoGroup PAC ID 1658280748, 368 clinicians

Practice addresses (Care Compare)

220 Golden Gate Ave
San Francisco, CA 94102-3795
Phone (415) 355-7400

555 Stevenson St
San Francisco, CA 94103-1606
Phone (628) 217-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.2 of 100Reported as group
Quality
61.12
Promoting interoperability
99
Improvement activities
40
Cost
83.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
75224CAMDPharmacist
A75224CAMDFamily Medicine Physician
224785NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Sep 1, 2006 Accepting new patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Sep 1, 2006 Accepting new patients

Locations

50 Lech Walesa
San Francisco, CA 94102
Phone (415) 355-7400

Organizations & group practices 3

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 2

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598892580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LECH WALESA",
            "address_2": "TOM WADDELL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024506",
            "telephone_number": "415-355-7540",
            "fax_number": "415-355-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LECH WALESA",
            "address_2": "TOM WADDELL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941024506",
            "telephone_number": "415-355-7540",
            "fax_number": "415-355-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNE",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "224785",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A75224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "965913",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.