Active NPI
Soo Borson
- Psychiatry Physician
- Palm Springs, CA
National Provider Identifier
1730265554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G89397
- Practice address
- 490 S Farrell Dr Ste C106
Palm Springs, CA 92262-7962 - Phone
- (760) 416-6773
- NPI assigned
- Oct 27, 2006
- Last updated
- Oct 18, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G89397 | CA | Primary |
Addresses
Primary practice location
490 S Farrell Dr Ste C106
Palm Springs, CA 92262-7962
Mailing address
5 Holland Ste 101
Irvine, CA 92618-2568
Phone (949) 588-2190
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G89397 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539820800000",
"number": "1730265554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HOLLAND STE 101",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182568",
"telephone_number": "949-588-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "490 S FARRELL DR STE C106",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922627962",
"telephone_number": "760-416-6773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORSON",
"first_name": "SOO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2018-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G89397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.