Jazeh Maya Borna, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP12960 Issued in CA

Practice address

933 S Sunset Ave Ste 205
West Covina, CA 91790-3410

Phone

(310) 857-8497

NPI assigned

Apr 16, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1487041562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 AMHERST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495805",
            "telephone_number": "310-857-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S SUNSET AVE STE 205",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903410",
            "telephone_number": "310-857-8497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 W Avenue L12 Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935347083",
            "country_code": "US",
            "telephone_number": "310-857-8497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1480 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900412357",
            "country_code": "US",
            "telephone_number": "310-857-8497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1968 W Adams Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900183515",
            "country_code": "US",
            "telephone_number": "310-857-8497",
            "fax_number": "310-857-8497",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15720 Ventura Blvd",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914362914",
            "country_code": "US",
            "telephone_number": "310-857-8497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORNA",
        "first_name": "JAZEH",
        "middle_name": "MAYA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP12960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Joseph Bol
• Antoinette Bollinger
• Brianna Bonel
• Lucy Bonilla
• Miranda Nicole Booth
• Borromeo III MD a Medical Corporation
• Naomi Brianne Bouaziz, DMD, MS
• Peter Boutros, DMD
• Alexah Christine Bowden, MA, LMFT
• Chantal Brady

• Speech-Language Pathologist in West Covina, CA
• Providers in West Covina, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.