Borrego Community Health Foundation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

080000651 Issued in CA

Legal business name

BORREGO COMMUNITY HEALTH FOUNDATION

Doing business as

Borrego Pharmacy

Practice address

655 Palm Canyon Dr.
Ste. C
Borrego Springs, CA 92004-2369

Phone

(760) 767-4777

Fax

(760) 767-4690

NPI assigned

Dec 11, 2006

Last updated

Feb 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bruce Hebets

Title

Ceo

Phone

(760) 767-5051

Specialties & licenses 1

Addresses

Other names 1

• Borrego Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1649330853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2369",
            "city": "BORREGO SPRINGS",
            "state": "CA",
            "postal_code": "920042369",
            "telephone_number": "760-767-4777",
            "fax_number": "760-767-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 PALM CANYON DR.",
            "address_2": "STE. C",
            "city": "BORREGO SPRINGS",
            "state": "CA",
            "postal_code": "920042369",
            "telephone_number": "760-767-4777",
            "fax_number": "760-767-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORREGO COMMUNITY HEALTH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "HEBETS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-767-5051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "080000651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Borrego Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Claudia Alise Baker-Fortiner, MPT
• Borrego Community Health Foundation (Woolcott Dental)
• Borrego Springs Fire Protection District
• Borrego Springs Unified School District
• Borrego Stat Care Inc
• Paul J. Califano, D.P.M.
• Joseph George Cerjan, M.D.

• Family Medicine Physician in Borrego Springs, CA
• Providers in Borrego Springs, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.