Rylie Borje, PA-C

Individual provider Active NPI Medical Physician Assistant · Artesia, CA

NPI 1114600574 · NPPES record last updated Apr 1, 2026

Key facts

NPI
1114600574
Entity type
Individual (NPI type 1)
Primary specialty
Medical Physician Assistant 363AM0700X
License
PA67754 (CA)
Practice address
18102 Pioneer Blvd Ste 201
Artesia, CA 90701-4404
Phone
(562) 865-8537
NPI assigned
Aug 10, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PA67754CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Memorial Medical Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA67754 CA Yes

Addresses

Primary practice location

18102 Pioneer Blvd Ste 201
Artesia, CA 90701-4404

Mailing address

16833 1/2 Grand Ave
Bellflower, CA 90706-5041

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 1, 2026.

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1114600574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16833 1/2 GRAND AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 PIONEER BLVD STE 201",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014404",
            "telephone_number": "562-865-8537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORJE",
        "first_name": "RYLIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA67754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Artesia, CA

All providers in Artesia, CA · Medical Physician Assistant in California

Sources for this page

Verify at the official NPI Registry.