1. Home
  2. Directory
  3. California
  4. Borrego Springs
  5. General Practice
  6. NPI Profile

BORREGO STAT CARE INC
NPI 1225890346
General Practice in Borrego Springs, CA

Active since January 24, 2024CLIA 05D2304920 · Waiver
587 PALM CANYON DR # 215, BORREGO SPRINGS, CA 92004(760) 837-0321(760) 837-9114 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Borrego Stat Care Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BORREGO STAT CARE INC (NPI 1225890346) is a healthcare organization registered as a general practice in Borrego Springs, California and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Monica Lucero, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1225890346
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBORREGO STAT CARE INC
Location Address587 PALM CANYON DR # 215Borrego Springs, CA 92004-4000
Mailing AddressPo Box 960Borrego Springs, CA 92004-0960 · (760) 284-1044 · Fax (760) 284-1937
Phone(760) 837-0321
Fax(760) 837-9114
Organization SubpartNo
Authorized OfficialMonica LuceroOffice Manager · (760) 837-0321
Enumeration DateJanuary 24, 2024
Last NPPES UpdateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1225890346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
587 PALM CANYON DR # 215, Borrego Springs, CA 92004
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2304920

Borrego Stat Care · Borrego Springs, CA
Active · expires May 20, 2028
CLIA Number05D2304920
Laboratory TypeIndependent
Certificate Effective DateMay 21, 2026
Certificate Expiration DateMay 20, 2028
Laboratory DirectorHomayoun Siman
Laboratory Phone(760) 284-1044
Laboratory LocationBorrego Stat Care587 Palm Canyon Dr Suite 215, Borrego Springs, CA 92004
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Borrego Stat Care Inc's NPI number?

The NPI number for Borrego Stat Care Inc is 1225890346. It was assigned to this organization in the NPPES registry on January 24, 2024.

Where is Borrego Stat Care Inc located?

Borrego Stat Care Inc is located at 587 Palm Canyon Dr # 215, Borrego Springs, CA 92004. The listed phone number is (760) 837-0321.

What is Borrego Stat Care Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Borrego Stat Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2304920) is associated with this NPI, valid through May 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Borrego Stat Care Inc was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.