Individual provider Active NPI

Borna Vajdi, MD

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1134744626
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A184399 Issued in CA
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

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230615001427 CA Practitioner - Family Practice 3173981602 Reassigns benefits to 1 organization

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
The Regents of the University of CaliforniaGroup PAC ID 1355248584, 1,426 clinicians

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 Hospital, Santa Monica, CA, CCN 050112
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A184399CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Aug 1, 2023 Accepting new patients
The Regents of the University of California Family Medicine CurrentSince Aug 1, 2023 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

  • Direct secure messaging: bvajdi1189270@direct.uclahealth.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.