Active NPI
Ray Borrego, SA-C
- Surgical Assistant
- San Antonio, TX
National Provider Identifier
1962864504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA00960
- Practice address
- 5450 Argyle Way
San Antonio, TX 78247-5847 - Phone
- (210) 624-1727
- NPI assigned
- Mar 23, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | SA00960 | TX | |
| Surgical Assistant | 246ZC0007X | SA00960 | TX | Primary |
Addresses
Primary practice location
5450 Argyle Way
San Antonio, TX 78247-5847
Mailing address
5450 Argyle Way
San Antonio, TX 78247-5847
Phone (210) 624-1727
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA00960 | TX | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1962864504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5450 ARGYLE WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782475847",
"telephone_number": "210-624-1727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5450 ARGYLE WAY",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782475847",
"telephone_number": "210-624-1727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORREGO",
"first_name": "RAY",
"credential": "SA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-23",
"last_updated": "2024-12-02",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "SA00960",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "TX",
"license": "SA00960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.