Organization Active NPI

Borna Solomon MD., Corp

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1386418333
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BORNA SOLOMON MD., CORP
Practice address
10535 Wilshire Blvd Apt 1710
Los Angeles, CA 90024-4558
Phone
(310) 560-7949
NPI assigned
Nov 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Borna Solomon, MDNPI 1124300082
Title
Authorized Official/ Owner
Phone
(310) 560-7949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

10535 Wilshire Blvd Apt 1710
Los Angeles, CA 90024-4558

Mailing address

10535 Wilshire Blvd Apt 1710
Los Angeles, CA 90024-4558
Phone (310) 560-7949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240614003519 CA Part B Supplier - Clinic/Group Practice 7810430162 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1386418333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 WILSHIRE BLVD APT 1710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244558",
            "telephone_number": "310-560-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 WILSHIRE BLVD APT 1710",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900244558",
            "telephone_number": "310-560-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORNA SOLOMON MD., CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "BORNA",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/ OWNER",
        "authorized_official_telephone_number": "310-560-7949",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.