NPIMap

Individual provider Active NPI

Michael C Bordofsky, MD

  • Internal Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1073505327
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G75364 Issued in CA
Practice address
515 E Micheltorena St
Suite C
Santa Barbara, CA 93103-2257
Phone
(805) 563-3234
Fax
(805) 563-3130
NPI assigned
Aug 22, 2005
Last updated
Sep 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G75364 CA Primary

Addresses

Primary practice location

515 E Micheltorena St
Suite C
Santa Barbara, CA 93103-2257

Mailing address

515 E Micheltorena St
Suite C
Santa Barbara, CA 93103-2257
Phone (805) 563-3234

Other identifiers 2

IdentifierTypeStateIssuer
00G753640MedicaidCA
110138625OtherCARAILROAD MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.bordofsky@5818357186564.direct.elationemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207000853 CA Practitioner - Internal Medicine 8426003617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Diego School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Palliative Care Consultants of Santa BarbaraGroup PAC ID 5698918522, 11 clinicians

Practice addresses (Care Compare)

515 E Micheltorena St
Suite C
Santa Barbara, CA 93103-4223
Phone (805) 563-3234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Palliative Care Consultants of Santa Barbara Internal Medicine CurrentSince Jun 1, 2013 Accepting new patients
Sansum Clinic CurrentSince Apr 7, 2020 Accepting new patients
Sansum Clinic Current Accepting new patients
Michael Bordofsky M D CurrentSince May 10, 2002 Accepting new patients
Sansum Clinic CurrentSince Apr 7, 2020 Accepting new patients
Goleta Valley Cottage Hospital Past Accepting new patients

Locations

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

515 E Micheltorena St
Ste C
Santa Barbara, CA 93103
Phone (805) 563-3234

540 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 563-5800

Interoperability endpoints

  • Direct secure messaging: mbordofsky385488@hisp.ehr.sutterhealth.org
  • Direct secure messaging: michael.bordofsky@5818357186564.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valle Verde Health FacilitySanta Barbara, CA, CCN 055733 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 19, 2022
Jul 19, 2022
Vna HealthSolvang, CA, CCN 057163 Home health agency Corporate Director May 11, 2002
Vna HealthSanta Barbara, CA, CCN 051540 Hospice Corporate Director May 1, 2002

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1073505327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E MICHELTORENA ST",
            "address_2": "SUITE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032257",
            "telephone_number": "805-563-3234",
            "fax_number": "805-563-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E MICHELTORENA ST",
            "address_2": "SUITE C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931032257",
            "telephone_number": "805-563-3234",
            "fax_number": "805-563-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDOFSKY",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G75364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G753640",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110138625",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.bordofsky@5818357186564.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "515 E Micheltorena St",
            "address_2": "Suite C",
            "city": "Santa Barbara",
            "state": "CA",
            "country_code": "US",
            "postal_code": "931032257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.