MEDICARE: BORREGO COMMUNITY HEALTH FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1053717280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BORREGO COMMUNITY HEALTH FOUNDATION

Provider Business Mailing Address
First Line	:	955 HARBOR ISLAND DR.
Second Line	:	SUITE 155
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-1034
Country	:	US
Telephone Number	:	619-344-2815
Fax Number	:

Provider Business Practice Location Address
First Line	:	955 HARBOR ISLAND DR
Second Line	:	SUITE 155
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-1069
Country	:	US
Telephone Number	:	619-344-2815
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF MANAGED CARE OPERATIONS
Name	:	ANTONIO ROSSELLI
Credential	:
Telephone Number	:	619-344-2815

Provider Enumeration Date	:	11/17/2014
Last Update Date	:	11/17/2014

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1619076635 — DR. SAMUEL HORACE WOOD M.D., PH.D.
Practice Location Address:

3420 CARMEL MOUNTAIN RD STE 200
SAN DIEGO, CA
92121-1069

Practice Phone: 858-267-4365
Practice Fax: 858-225-3535

1164901237 — GEN 5 FERTILITY CENTER, P.C.
Practice Location Address:

3420 CARMEL MOUNTAIN RD STE 200
SAN DIEGO, CA
92121-1069

Practice Phone: 858-267-4365
Practice Fax:

1265035182 — JONATHAN DE JESUS CARDENAS
Practice Location Address:

2624 C ST APT 9
SAN DIEGO, CA
92102-1069

Practice Phone: 619-808-3430
Practice Fax:

1033968672 — KHADIJA DAMJI NURSE PRACTITIONER
Practice Location Address:

3420 CARMEL MOUNTAIN RD STE 200
SAN DIEGO, CA
92121-1069

Practice Phone: 858-267-4365
Practice Fax:

1639173982 — JORGE ALBERTO GARZA M.D.
Practice Location Address:

8019 S NEW BRAUNFELS STE 105
SAN ANTONIO, TX
78235-1069

Practice Phone: 210-304-8282
Practice Fax: 210-224-8801

Directions to “BORREGO COMMUNITY HEALTH FOUNDATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.