NPIMap

Individual provider Active NPI

Michael A Borovay, M.D.

  • Internal Medicine Physician
  • Torrance, CA
National Provider Identifier
1174575476
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G63874 Issued in CA
Practice address
21311 Madrona Ave
Ste 100a
Torrance, CA 90503-5970
Phone
(310) 792-4400
Fax
(310) 542-5805
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G63874 CA Primary

Addresses

Primary practice location

21311 Madrona Ave
Ste 100a
Torrance, CA 90503-5970

Mailing address

21311 Madrona Ave
Ste 100a
Torrance, CA 90503-5970
Phone (310) 792-4400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mborovay196685@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050126000688 CA Practitioner - Internal Medicine 3779533849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

Glendale, CA 91202

Laguna Niguel, CA 92677

21311 Madrona Ave
Torrance, CA 90503-5970

21501 Avalon Blvd
Suite 100
Carson, CA 90745-2210
Phone (310) 835-6627

Hospital & facility affiliations

  • Providence Home Health la County South Home health agency, Torrance, CA, CCN 557447
  • Torrance Memorial Home Health Home health agency, Torrance, CA, CCN 057788
  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G63874CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Internal Medicine CurrentSince Dec 1, 2004 Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Dec 1, 2004 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

21311 Madrona Ave
Ste 100A
Torrance, CA 90503
Phone (310) 792-4400

20911 Earl St
Ste 440
Torrance, CA 90503
Phone (310) 419-8585

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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 4

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1174575476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21311 MADRONA AVE",
            "address_2": "STE 100A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035970",
            "telephone_number": "310-792-4400",
            "fax_number": "310-542-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21311 MADRONA AVE",
            "address_2": "STE 100A",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035970",
            "telephone_number": "310-792-4400",
            "fax_number": "310-542-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROVAY",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G63874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mborovay196685@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "21311 Madrona Ave",
            "address_2": "Ste 100A",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905035970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.