Individual provider Active NPI

Phabillia Borja, PHYSICIAN

  • Obstetrics & Gynecology Physician
  • Beverly Hills, CA
National Provider Identifier
1346377736
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C55443 Issued in CA
Practice address
329 N Wetherly Dr Ste 209
Beverly Hills, CA 90211-1675
Phone
(323) 760-7277
Fax
(323) 978-6094
NPI assigned
Feb 27, 2007
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 233559 NY
Obstetrics & Gynecology Physician 207V00000X C55443 CA Primary

Addresses

Primary practice location

329 N Wetherly Dr Ste 209
Beverly Hills, CA 90211-1675

Mailing address

11870 Santa Monica Blvd # 106743
Los Angeles, CA 90025-2276
Phone (323) 283-9877

Other identifiers 1

IdentifierTypeStateIssuer
01806239MedicaidNY

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
I20140530000055 CA Practitioner - Obstetrics/Gynecology 7315902558 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C55443CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Praeva Inc CurrentSince Jan 4, 2026 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Jun 11, 2020 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Mar 1, 2020 Accepting new patients
At Your Service Mobile Unit Current Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Mar 1, 2020 Accepting new patients
Phabulous Care, Inc Obstetrics & Gynecology Past Accepting new patients

Locations

329 N Wetherly Dr
Ste 209
Beverly Hills, CA 90211
Phone (323) 760-7277

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1346377736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 SANTA MONICA BLVD # 106743",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252276",
            "telephone_number": "323-283-9877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 N WETHERLY DR STE 209",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111675",
            "telephone_number": "323-760-7277",
            "fax_number": "323-978-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORJA",
        "first_name": "PHABILLIA",
        "name_prefix": "Dr.",
        "credential": "PHYSICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "233559",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C55443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01806239",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.