Organization Active NPI

Michael D. Borookhim, M.D., Inc

  • Internal Medicine Physician
  • Beverly Hills, CA
National Provider Identifier
1023189289
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A68706 Issued in CA
Legal business name
MICHAEL D. BOROOKHIM, M.D., INC
Practice address
9301 Wilshire Blvd
Suite 602
Beverly Hills, CA 90210-5424
Phone
(310) 288-0881
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael D Borookhim, M.D.
Title
President
Phone
(310) 777-6667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X A68706 CA Primary

Addresses

Primary practice location

9301 Wilshire Blvd
Suite 602
Beverly Hills, CA 90210-5424

Mailing address

9301 Wilshire Blvd
Suite 602
Beverly Hills, CA 90210-5424
Phone (310) 288-0881

Other identifiers 1

IdentifierTypeStateIssuer
00A687060MedicaidCA

National Provider Directory

National Provider Directory

Locations

9301 Wilshire Blvd
Ste 602
Beverly Hills, CA 90210
Phone (310) 271-7012

5901 W Olympic Blvd
Ste 508
Los Angeles, CA 90036
Phone (310) 642-7774

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023189289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD",
            "address_2": "SUITE 602",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105424",
            "telephone_number": "310-288-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 WILSHIRE BLVD",
            "address_2": "SUITE 602",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105424",
            "telephone_number": "310-288-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL D. BOROOKHIM, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOROOKHIM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-777-6667",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A68706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A687060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.