Individual provider Active NPI

Andres Borja

  • Social Worker
  • Riverside, CA
National Provider Identifier
1376977744
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
3801 University Ave
Suite 400
Riverside, CA 92501-3247
Phone
(951) 955-7118
NPI assigned
Aug 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

Primary practice location

3801 University Ave
Suite 400
Riverside, CA 92501-3247

Mailing address

25742 Van Leuven St
Loma Linda, CA 92354-2508
Phone (909) 835-3055

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240620002138 CA Practitioner - Clinical Social Worker 1052854981 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Partners CurrentSince Apr 21, 2024 Accepting new patients
Riverside County Mental Health Past Accepting new patients
Psychology Partners a Prof Corp PastSince Sep 14, 2025 Accepting new patients

Locations

27349 Jefferson Ave
Ste 111
Temecula, CA 92590
Phone (949) 201-8260

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.

NPI Registry JSON

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1376977744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25742 VAN LEUVEN ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542508",
            "telephone_number": "909-835-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNIVERSITY AVE",
            "address_2": "SUITE 400",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013247",
            "telephone_number": "951-955-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORJA",
        "first_name": "ANDRES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.