Active NPI
John David Borman, M.D.
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1669508727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C32854
- Practice address
- 7850 Vista Hill Ave
San Diego, CA 92123-2717 - Phone
- (858) 755-3090
- NPI assigned
- Feb 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C32854 | CA | Primary |
| Addiction Psychiatry Physician | 2084P0802X | C32854 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | C32854 | CA |
Addresses
Primary practice location
7850 Vista Hill Ave
San Diego, CA 92123-2717
Mailing address
PO Box 2469
Del Mar, CA 92014-1769
Phone (858) 755-3090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C328540 | Medicaid | CA |
Other names 1
- Dr. David Borman
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1669508727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2469",
"city": "DEL MAR",
"state": "CA",
"postal_code": "920141769",
"telephone_number": "858-755-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 VISTA HILL AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232717",
"telephone_number": "858-755-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORMAN",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-25",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C32854",
"primary": true
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CA",
"license": "C32854",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "C32854",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C328540",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "BORMAN",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
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 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.