Active NPI
Agustin Borjon Jr., MD
- Vascular Surgery Physician
- Escondido, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A196862
- Practice address
- 2130 Citracado Pkwy Ste 300
Escondido, CA 92029-4151 - Phone
- (510) 314-7180
- NPI assigned
- Apr 14, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | A196862 | CA | Primary |
Addresses
Primary practice location
2130 Citracado Pkwy Ste 300
Escondido, CA 92029-4151
Mailing address
2130 Citracado Pkwy Ste 300
Escondido, CA 92029-4151
Phone (510) 314-7180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240816003128 | CA | Practitioner - Vascular Surgery | 1759829096 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Arch Health Partners Inc
Practice addresses (Care Compare)
2130 Citracado Pkwy
Escondido, CA 92029-4149
Phone (858) 673-2450
Hospital & facility affiliations
- Palomar Health Downtown Campus
- Palomar Medical Center Poway
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 19 |
| Removal of tissue | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A196862 | CA | MD | Vascular Surgery Physician |
Practice roles (2 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Health Partners | Current | Accepting new patients | |
| Arch Health Partners, Inc | Vascular Surgery | Current | Accepting new patients |
Locations
2130 Citracado Pkwy
Ste 300
Escondido, CA 92029
Phone (760) 291-6650
2130 Citracado Pkwy
Escondido, CA 92029
Phone (858) 485-1111
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- agustin.borjon.p1@direct.arch.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Family Medicine Physician
- Valley Center, CA
- NPI 1063954683
Hospital & facility affiliations 2
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": "1460592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729814400000",
"number": "1124472311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2130 CITRACADO PKWY STE 300",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294151",
"telephone_number": "510-314-7180",
"fax_number": "760-739-7633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2130 CITRACADO PKWY STE 300",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920294151",
"telephone_number": "510-314-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORJON",
"first_name": "AGUSTIN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-14",
"last_updated": "2024-10-25",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "A196862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.