DIANA ELENA BORREGO (NPI# 1184012866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184012866 |
| Entity Type | Individual |
| Full Name | DIANA ELENA BORREGO |
| Practice Address |
4094 4th Ave San Diego CA 92103-2143 |
| Mailing Address |
719 Mahogany Dr El Cajon CA 92019-2629 |
| Practice Telephone | 6195152545 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 444666 | CA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
NP95005019 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 444666 | CA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 719 Mahogany Dr, El Cajon, CA 920192629 | 6199712250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598045130 | Diana Borrego | Pharmacist | 1333 Castro St, San Francisco, CA 94114-3620 | 2011-08-26 |
| Street Address |
4094 4TH AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92103-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033136791 | Joel Francis Trambley | Internal Medicine | 4094 4th Ave, San Diego, CA 92103-2143 | 2006-07-17 |
| 1689271728 | Tripti Uchhana | Counselor | 4094 4th Ave, San Diego, CA 92103-2143 | 2020-10-01 |
| 1457986226 | Paul Russell Ostrom | Marriage & Family Therapist | 4094 4th Ave, San Diego, CA 92103-2143 | 2020-03-11 |
| 1114583176 | Kaitlyn Mahoney | Physical Therapist | 4094 4th Ave, San Diego, CA 92103-2143 | 2019-05-15 |
| 1366951105 | Helen Anne Hayden-wade | Psychologist | 4094 4th Ave, San Diego, CA 92103-2143 | 2017-09-25 |
| 1003354895 | Elena Hapke | Physical Therapist | 4094 4th Ave, San Diego, CA 92103-2143 | 2017-02-01 |
| 1306221643 | John Mackay Horne | Physical Therapist | 4094 4th Ave, Suite 300, San Diego, CA 92103-2143 | 2015-07-28 |
| 1730567678 | Edith Fitzgerald Saville | Nurse Practitioner | 4094 4th Ave, San Diego, CA 92103-2143 | 2015-05-12 |
| 1629456900 | Family Health Centers of San Diego Inc | Clinic/Center | 4094 4th Ave, San Diego, CA 92103-2143 | 2015-05-07 |
| 1689064214 | Chase Lincoln Billotte | Specialist | 4094 4th Ave, San Diego, CA 92103 | 2015-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
| 1568082717 | Salina Ann Bambic | Social Worker | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
| 1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1932740388 | Grace Tong-ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
| 1306490453 | Genevieve Cheung | Pharmacist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
| 1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
| 1982185070 | Tyler Lewis Roberts | Counselor | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
| 1689151284 | Tori Breanne Blackwell | Occupational Therapist | 3731-a 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
| 1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
| Find all providers in zip 92103 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609431196 | Tanya Denise Stevenson-gaines | Nurse Practitioner | 13988 Royal Melbourne Sq, San Diego, CA 92128-3646 | 2019-05-09 |
| 1457788598 | Christopher John Reddin | Nurse Practitioner | Naval Medical Center San Diego C I D, 34800 Bob Wilson Drive, San Diego, CA 92134-0001 | 2013-10-03 |
| 1356650634 | Jamie M Sorenson | Nurse Practitioner | Center Star Act Mental Health Systems, 4283 El Cajon Blvd, Suite 115, San Diego, CA 92105-0001 | 2010-10-04 |
| 1023345204 | Nelda K. Coleman | Nurse Practitioner | 4715 Viewridge Avenue, Suite 230, San Diego, CA 92123 | 2009-11-10 |
| 1972506483 | Steven G Hogan | Nurse Practitioner | 8810 Rio San Diego Dr, San Diego, CA 92108-1698 | 2005-05-30 |
| 1396358024 | Stephanie Joyce Reed | Nurse Practitioner | 2630 1st Ave, San Diego, CA 92103-6599 | 2020-08-24 |
| 1104442185 | Joshua Don Dougherty | Nurse Practitioner | 1550 Hotel Cir N Ste 450, San Diego, CA 92108-2933 | 2020-06-24 |
| 1801422258 | Safiya Damali Daley | Nurse Practitioner | 1675 Morena Blvd, San Diego, CA 92110-3703 | 2020-03-17 |
| 1083247779 | Fernando Ebeo Serrano Jr. | Nurse Practitioner | 3491 Kurtz St Ste 150, San Diego, CA 92110-4430 | 2020-02-20 |
| 1538790605 | Kat Tupas Balingit | Nurse Practitioner | 140 Arbor Dr, San Diego, CA 92103-2007 | 2020-01-28 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.