MR. SERGE BORODULIN
NPI 1992418792
Case Manager/Care Coordinator in Sacramento, CA

Q: What is Serge Borodulin's NPI number?

The NPI number for Serge Borodulin is 1992418792. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Q: What is Serge Borodulin's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Serge Borodulin was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since December 27, 2022

2150 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 875-1000 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2023, Dec 27, 2022 (2 updates tracked since 2022).

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About Mr. Serge Borodulin NPPES

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

MR. SERGE BORODULIN (NPI 1992418792) is an individual case manager/care coordinator provider in Sacramento, California and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1992418792

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameMR. SERGE BORODULIN

Location Address2150 STOCKTON BLVDSacramento, CA 95817-1337

Mailing Address6220 Winding WayCarmichael, CA 95608-1135 · (916) 829-0968

Phone(916) 875-1000

Sole ProprietorNo

Enumeration DateDecember 27, 2022

Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2023

✔ NPI 1992418792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedBehavior AnalystTaxonomy 103K00000X

2150 STOCKTON BLVD, Sacramento, CA 95817

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Other Identifiers 1

Other171M00000XCA · County

Other Providers at the Same Location NPPES 20

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

TONYA THOMPSON L.P.T.

Licensed Psychiatric Technician