Pedro Bojorquez Sr.
Individual provider Active NPI Contractor · San Diego, CA
NPI 1902199433 · NPPES record last updated Sep 14, 2015
Key facts
- NPI
- 1902199433
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 24026338 (CA)
- Practice address
- 3245 University Ave
Suite 543
San Diego, CA 92104-2009 - Phone
- (619) 255-7725
- Fax
- (619) 255-7718
- NPI assigned
- May 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24026338 | CA | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bojorquez Medical Billing MGMT Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 24026338 | CA | Yes |
Addresses
Primary practice location
3245 University Ave
Suite 543
San Diego, CA 92104-2009
Mailing address
3245 University Ave
Suite 543
San Diego, CA 92104-2009
Phone (619) 255-7725
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201208961 | Other | CA | INDIVIDUAL TAXPAYER IDENTIFICATION NUMBER |
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.