Active NPI
Borna Vajdi, MD
- Family Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A184399
- Practice address
- 10250 Santa Monica Blvd Ste 2440
Los Angeles, CA 90067-6593 - Phone
- (310) 286-0122
- Fax
- (310) 286-0125
- NPI assigned
- Jun 10, 2020
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A184399 | CA | Primary |
Addresses
Primary practice location
10250 Santa Monica Blvd Ste 2440
Los Angeles, CA 90067-6593
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 340-3911
Other practice location 2
6344 Topanga Canyon Blvd Ste 2040
Woodland Hills, CA 91367-2362
Phone (818) 610-0292
Other practice location 3
2424 Wilshire Blvd
Santa Monica, CA 90403-5806
Phone (310) 828-4530
Other practice location 4
6000 Sepulveda Blvd Ste E10
Culver City, CA 90230-6421
Phone (310) 313-0020
Other practice location 5
4323 W Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700
Other practice location 6
23815 Stuart Ranch Rd Ste 301
Malibu, CA 90265-4861
Phone (310) 317-0034
Other practice location 7
4560 Admiralty Way Ste 100
Marina Del Rey, CA 90292-5424
Phone (310) 827-3700
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10250 Santa Monica Blvd
Suite 2440
Los Angeles, CA 90067-6469
Phone (310) 286-0122
2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381
23815 Stuart Ranch Rd
Malibu, CA 90265-4861
2424 Wilshire Blvd
Santa Monica, CA 90403-5806
Phone (310) 828-4530
2428 Santa Monica Blvd
Santa Monica, CA 90404-2046
4323 W Riverside Dr
Burbank, CA 91505-4044
Phone (818) 556-2700
4560 Admiralty Way
Suite 100
Marina del Rey, CA 90292-5424
Phone (310) 827-3700
6000 Sepulveda Blvd
Suite E10
Culver City, CA 90230-6421
Phone (310) 313-0020
6344 Topanga Canyon Blvd
Suite 2040
Woodland Hills, CA 91367-2362
Phone (818) 610-0292
Hospital & facility affiliations
- Santa Monica - UCLA Med Ctr & Orthopaedic Hospital
- Ronald Reagan UCLA Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 79.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.65
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A184399 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Regents of the University of California | Current | Accepting new patients | |
| The Regents of the University of California | Family Medicine | Current | Accepting new patients |
| UCLA Medical Group | Family Medicine | Past | Accepting new patients |
Locations
4323 W Riverside Dr
Burbank, CA 91505
Phone (818) 556-2700
6000 Sepulveda Blvd
Ste E10
Culver City, CA 90230
Phone (310) 313-0020
1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000
24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252
10250 Santa Monica Blvd
Ste 2440
Los Angeles, CA 90067
Phone (310) 286-0122
File 55737
Los Angeles, CA 90074
5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200
23815 Stuart Ranch Rd
Ste 301
Malibu, CA 90265
Phone (310) 317-0034
4560 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 656-1770
2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381
2424 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 828-4530
100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500
6344 Topanga Canyon Blvd
Ste 20
Woodland Hills, CA 91367
6344 Topanga Canyon Blvd
Ste 2040
Woodland Hills, CA 91367
Phone (818) 610-0292
Interoperability endpoints
- bvajdi1189270@direct.uclahealth.org
- borna.vajdi.p1@direct.cdsdp.nextgenshare.com
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1235107566
Family Medicine
-
- Ambulatory Surgical Clinic/Center
- Valencia, CA
- NPI 1689200305
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1427055839
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1902803315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1134744626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10250 SANTA MONICA BLVD STE 2440",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900676593",
"telephone_number": "310-286-0122",
"fax_number": "310-286-0125"
}
],
"practiceLocations": [
{
"address_1": "39000 Bob Hope Dr",
"address_purpose": "LOCATION",
"city": "Rancho Mirage",
"state": "CA",
"postal_code": "922703221",
"country_code": "US",
"telephone_number": "760-340-3911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6344 Topanga Canyon Blvd Ste 2040",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "913672362",
"country_code": "US",
"telephone_number": "818-610-0292",
"fax_number": "818-610-0293",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2424 Wilshire Blvd",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904035806",
"country_code": "US",
"telephone_number": "310-828-4530",
"fax_number": "310-453-4613",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 Sepulveda Blvd Ste E10",
"address_purpose": "LOCATION",
"city": "Culver City",
"state": "CA",
"postal_code": "902306421",
"country_code": "US",
"telephone_number": "310-313-0020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4323 W Riverside Dr",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "CA",
"postal_code": "915054044",
"country_code": "US",
"telephone_number": "818-556-2700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "23815 Stuart Ranch Rd Ste 301",
"address_purpose": "LOCATION",
"city": "Malibu",
"state": "CA",
"postal_code": "902654861",
"country_code": "US",
"telephone_number": "310-317-0034",
"fax_number": "310-317-0035",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4560 Admiralty Way Ste 100",
"address_purpose": "LOCATION",
"city": "Marina Del Rey",
"state": "CA",
"postal_code": "902925424",
"country_code": "US",
"telephone_number": "310-827-3700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAJDI",
"first_name": "BORNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-10",
"last_updated": "2024-04-19",
"certification_date": "2024-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A184399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.