Boris H Borazjani, M.D., Inc

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

A90161 Issued in CA

Legal business name

BORIS H BORAZJANI, M.D., INC

Practice address

11550 Indian Hills Rd
Suite 310
Mission Hills, CA 91345-1200

Phone

(949) 246-4443

NPI assigned

Jul 25, 2013

Last updated

Jul 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Boris H Borazjani, M.D.NPI 1730356353

Title

President

Phone

(949) 246-4443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boris H Borazjani, M.D.,M.P.H.

  • Trauma Surgery Physician
  • Mission Hills, CA
  • NPI 1730356353
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1124460506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "SUITE 310",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD",
            "address_2": "SUITE 310",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451200",
            "telephone_number": "949-246-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORIS H BORAZJANI, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "BORAZJANI",
        "authorized_official_first_name": "BORIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-246-4443",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A90161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gagandeep Brar, MD
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• Susan Bray, AU.D.
• Ashleigh Brendzel, MS, RD, CDE

• Trauma Surgery Physician in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Trauma Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.