Mariana E Bordas, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

84598 Issued in CA

Practice address

15373 Innovation Dr Ste 395
San Diego, CA 92128-3415

Phone

(619) 823-1778

NPI assigned

Mar 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1801913363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 KOBE DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921233002",
            "telephone_number": "619-823-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15373 INNOVATION DR STE 395",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283415",
            "telephone_number": "619-823-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDAS",
        "first_name": "MARIANA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "84598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH #",
            "identifier": "9786",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Borch
• Alexandra Faith Borchard
• Eric Borchert
• Vicky K Borck, D.O.
• Amanda Bordagaray
• Erlene Kay Borden, M.A.
• Adrienne Borders, PHD
• Michael D Borders, P.T.
• Talya Bordin-Wosk
• Jill Kerry Bordokoff, MSOT

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.