Active NPI
Jane Mosha Borunda
- Licensed Vocational Nurse
- Indio, CA
National Provider Identifier
1629909692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 759910
- Practice address
- 47915 Oasis St
Indio, CA 92201-6950 - Phone
- (760) 863-8600
- NPI assigned
- May 27, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 759910 | CA | Primary |
Addresses
Primary practice location
47915 Oasis St
Indio, CA 92201-6950
Mailing address
28500 Avenida Condesa
Cathedral City, CA 92234-3701
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 |
|---|---|---|---|
| 759910 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1629909692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28500 AVENIDA CONDESA",
"city": "CATHEDRAL CITY",
"state": "CA",
"postal_code": "922343701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47915 OASIS ST",
"city": "INDIO",
"state": "CA",
"postal_code": "922016950",
"telephone_number": "760-863-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORUNDA",
"first_name": "JANE",
"middle_name": "MOSHA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-05-27",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "759910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.