Individual provider Active NPI

Akeem Rashad Borom, PA-C

  • Physician Assistant
  • Orange, CA
National Provider Identifier
1316679822
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64553 Issued in CA
Practice address
302 W la Veta Ave Ste 202
Orange, CA 92866-2607
Phone
(714) 545-5550
NPI assigned
Jun 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA64553 CA Primary

Addresses

Primary practice location

302 W la Veta Ave Ste 202
Orange, CA 92866-2607

Mailing address

19782 Macarthur Blvd Ste 300
Irvine, CA 92612-2417
Phone (714) 545-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240416003617 NC Practitioner - Physician Assistant 0345689808 Reassigns benefits to 1 organization
I20240725002364 CA Practitioner - Physician Assistant 0345689808 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Morehouse School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shilpa Diwan MD IncGroup PAC ID 5890023980, 5 clinicians

Practice addresses (Care Compare)

19772 Macarthur Blvd
Suite 220
Irvine, CA 92612-2405
Phone (949) 304-6727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
64553CAMDPharmacist
PA64553CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients
Shilpa Diwan MD Inc CurrentSince Sep 9, 2025 Accepting new patients
Hoag Hospital PastSince Sep 1, 2024 Accepting new patients

Locations

19772 MacArthur Blvd
Ste 220
Irvine, CA 92612
Phone (949) 304-6727

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: aborom122305@capefearvalley.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1316679822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19782 MACARTHUR BLVD STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122417",
            "telephone_number": "714-545-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W LA VETA AVE STE 202",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928662607",
            "telephone_number": "714-545-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROM",
        "first_name": "AKEEM",
        "middle_name": "RASHAD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.