Individual provider Active NPI

Linda Borna, D.D.S.

  • General Practice Dentistry
  • Claremont, CA
National Provider Identifier
1972970028
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
64808 Issued in CA
Practice address
420 W Baseline Rd Ste B
Claremont, CA 91711-1621
Phone
(909) 625-6767
NPI assigned
Aug 25, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 64808 CA Primary

Addresses

Primary practice location

420 W Baseline Rd Ste B
Claremont, CA 91711-1621

Mailing address

420 W Baseline Rd Ste B
Claremont, CA 91711-1621
Phone (323) 333-3325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181109002546 CA Order and Referring Only - DentistPractitioner - Dentist 7012261035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1972970028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 W BASELINE RD STE B",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111621",
            "telephone_number": "323-333-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W BASELINE RD STE B",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917111621",
            "telephone_number": "909-625-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORNA",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "64808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.