Rebecca Borusko, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95016998 Issued in CA

Practice address

395 Oyster Point Blvd Ste 512
South San Francisco, CA 94080-1973

Phone

(650) 826-2945

NPI assigned

Nov 25, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, WA, OR, UT4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 4

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Good Heart Medical Group a Professional CorporationGroup PAC ID 0042579658, 4 clinicians

Resolutioncare PCGroup PAC ID 9133444508, 7 clinicians

Vynca Medical Associates PAGroup PAC ID 4789058660, 6 clinicians

Apex Cardiology ConsultantsGroup PAC ID 0345226767, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rprescott@landmarkhealth-direct.org
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70734
• FHIR API: https://api.platform.athenahealth.com/10606/brand/1/csg/1/fhir/r4

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.

• Apex Cardiology Consultants

  • Specialist
  • Inglewood, CA
  • NPI 1881669489
  Medicare reassignment Care Compare group NPD
• Good Heart Medical Group a Professional Corporation

  • Interventional Cardiology Physician
  • Santa Ana, CA
  • NPI 1811402571
  Medicare reassignment Care Compare group NPD
• Resolutioncare, PC

  • Specialist
  • San Mateo, CA
  • NPI 1194121681
  Medicare reassignment Care Compare group NPD
• Vynca Medical Associates PA

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1861144842

  OR, UT, WA

  Medicare reassignment Care Compare group NPD
• Redwood Advanced Nursing and Wellness LLC

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1144153461
  NPD Authorized official
• Landmark Health of Oregon LLC

  • General Practice Physician
  • Tigard, OR
  • NPI 1205226214
  NPD (past)

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662336000000",
    "number": "1982240966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WALNUT AVE APT A",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940802721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 OYSTER POINT BLVD STE 512",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801973",
            "telephone_number": "650-826-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3124 International Blvd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946012902",
            "country_code": "US",
            "telephone_number": "510-434-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORUSKO",
        "first_name": "REBECCA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2022-09-05",
        "certification_date": "2022-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95185871",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erendira Blake
• Jamie Blanco
• Javeona Janea Boddie
• Lauren Bogue, MS, CGC
• Kiranjyot Boparai, FNP-BC
• Desiree Dominique Botelho
• Bougainvilleas Care LLC
• Chrystal Bowdry, LMFT, LPCC
• Karla Renee Bowles, PH.D., FACMG, CGMB
• Yareli Yurianairi Bowman, OTR/L

• Family Nurse Practitioner in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.