Carisa Marisol Borromeo, DNP, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Alviso, CA
NPI 1609649672 · NPPES record last updated May 1, 2026
Key facts
- NPI
- 1609649672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95039065 (CA)
- Practice address
- 1621 Gold St
Alviso, CA 95002-3530 - Phone
- (415) 948-4974
- NPI assigned
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260615002236 | CA | Order and Referring Only - Nurse Practitioner | 7618449281 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95039065 | CA | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95039065 | CA | Yes |
Addresses
Primary practice location
1621 Gold St
Alviso, CA 95002-3530
Mailing address
3866 Palos Verdes Way
South San Francisco, CA 94080-3945
Phone (415) 948-4974
Other providers in Alviso, CA
- American Respiratory Laboratories
- Robin Lee Contino
- Gardner Family Health Network
- Gardner Family Health Network Inc
- Gardner Family Health Network Inc
- Pacific Clinics
All providers in Alviso, CA · Family Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.