Active NPI
Adam D. Borecky, MD
- Psychiatry Physician
- Ladera Ranch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A178050
- Practice address
- 333 Corporate Dr Ste 260
Ladera Ranch, CA 92694-2180 - Phone
- (949) 768-2988
- Fax
- (949) 768-2980
- NPI assigned
- Apr 23, 2019
- Last updated
- Jun 2, 2025
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A178050 | CA | Primary |
Addresses
Primary practice location
333 Corporate Dr Ste 260
Ladera Ranch, CA 92694-2180
Mailing address
2807 Lake Michigan Dr NW # 3
Grand Rapids, MI 49504-5831
Phone (909) 255-1753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Loma Linda University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
555 Midtowne St NE
Suite 304
Grand Rapids, MI 49503-5731
Phone (616) 458-4444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A178050 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Borecky Health Inc. | Psychiatry | Current | Accepting new patients |
| Opus Health PLLC | Psychiatry | Current | Accepting new patients |
| Kevin Kinback | Psychiatry | Past | Accepting new patients |
Locations
1276 Auto Park Way
Ste D
Escondido, CA 92029
333 Corporate Dr
Ste 260
Ladera Ranch, CA 92694
Phone (949) 456-4265
2807 Lake Michigan Dr NW
#3
Grand Rapids, MI 49504
555 Midtowne St NE
Ste 304
Grand Rapids, MI 49503
Phone (616) 458-4444
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- aborecky94347@direct.llu.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Ladera Ranch, CA
- NPI 1700510484
-
- Psychiatry Physician
- Ladera Ranch, CA
- NPI 1902014780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1194389452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2807 LAKE MICHIGAN DR NW # 3",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495045831",
"telephone_number": "909-255-1753",
"fax_number": "760-227-5720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 CORPORATE DR STE 260",
"city": "LADERA RANCH",
"state": "CA",
"postal_code": "926942180",
"telephone_number": "949-768-2988",
"fax_number": "949-768-2980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORECKY",
"first_name": "ADAM",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-23",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A178050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ladera Ranch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.