Active NPI
Mario S Borlongan Jr., M.D.
- Pediatrics Physician
- Surprise, AZ
National Provider Identifier
1841269206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 31440
- Practice address
- 14780 W Mountain View Blvd
Ste 201
Surprise, AZ 85374-7281 - Phone
- (623) 584-5250
- Fax
- (623) 584-4587
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 31440 | AZ | Primary |
Addresses
Primary practice location
14780 W Mountain View Blvd
Ste 201
Surprise, AZ 85374-7281
Mailing address
9524 W Camelback Rd
Ste. 130-381
Glendale, AZ 85305-3104
Phone (623) 584-5250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 774291-01 | Medicaid | AZ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Mercy - Mid Kansas Pediatric Associates Inc | Pediatrics | Past | Accepting new patients |
| Mid-Kansas Pediatric Associates, P.a. | Pediatrics | Past | Accepting new patients |
| Bright Horizons Pediatrics PC | Pediatrics | Past | Accepting new patients |
| Banner del E Webb Medical Center | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Surprise, AZ
- NPI 1376735738
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
- Pediatrics Physician
- Wichita, KS
- NPI 1134921943
-
- Pediatrics Physician
- Wichita, KS
- NPI 1669433389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1841269206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9524 W CAMELBACK RD",
"address_2": "STE. 130-381",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853053104",
"telephone_number": "623-584-5250",
"fax_number": "623-584-4587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14780 W MOUNTAIN VIEW BLVD",
"address_2": "STE 201",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747281",
"telephone_number": "623-584-5250",
"fax_number": "623-584-4587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORLONGAN",
"first_name": "MARIO",
"middle_name": "S",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "31440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "774291-01",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.