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BORWORN RATTIDHAM,MD.,P.C.
NPI 1689865776
Clinic/Center - Medical Specialty in Perris, CA

Active since August 05, 2007
126 AVOCADO AVE STE 102, PERRIS, CA 92571(951) 943-8110 Get Directions Write a Review

NPPES record last updated: August 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Borworn Rattidham,md.,p.c. NPPES

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

BORWORN RATTIDHAM,MD.,P.C. (NPI 1689865776) is a healthcare organization registered as a medical specialty in Perris, California and active in the NPI registry since August 2007. The organization lists Borworn Rattidham, President, as its authorized official.

NPPES Registry Identity

NPI1689865776
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameBORWORN RATTIDHAM,MD.,P.C.
Location Address126 AVOCADO AVE STE 102Perris, CA 92571-2605
Mailing Address126 Avocado Ave Ste 102Perris, CA 92571-2605
Phone(951) 943-8110
Organization SubpartNo
Authorized OfficialBorworn RattidhamPresident · (951) 943-8110
Enumeration DateAugust 5, 2007
✔ NPI 1689865776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · A25955
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
126 AVOCADO AVE STE 102, Perris, CA 92571
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Other Identifiers 1

Medicare UPINA24647CA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAPID CARE ENTERPRISES, INC
Clinic/Center (Urgent Care)
126 AVOCADO AVE STE 102
PERRIS, CA 92571
Riverside County (951) 490-4910

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 Borworn Rattidham,md.,p.C.'s NPI number?

The NPI number for Borworn Rattidham,md.,p.C. is 1689865776. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Borworn Rattidham,md.,p.C. located?

Borworn Rattidham,md.,p.C. is located at 126 Avocado Ave Ste 102, Perris, CA 92571. The listed phone number is (951) 943-8110.

What is Borworn Rattidham,md.,p.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Borworn Rattidham,md.,p.C. was last updated on August 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.