Active NPI
James Alexander Bordeaux
- Medical Physician Assistant
- Palmdale, CA
National Provider Identifier
1619708807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1744
- Practice address
- 320 E Palmdale Blvd
Palmdale, CA 93550-4598 - Phone
- (818) 654-3887
- NPI assigned
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1744 | CA | Primary |
Addresses
Primary practice location
320 E Palmdale Blvd
Palmdale, CA 93550-4598
Mailing address
320 E Palmdale Blvd
Palmdale, CA 93550-4598
Phone (818) 654-3887
Other names 1
- James Leonard Bordeaux
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1744 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1619708807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 E PALMDALE BLVD",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935504598",
"telephone_number": "818-654-3887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 E PALMDALE BLVD",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935504598",
"telephone_number": "818-654-3887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDEAUX",
"first_name": "JAMES",
"middle_name": "ALEXANDER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "1744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "BORDEAUX",
"middle_name": "LEONARD",
"credential": "MEDICAL ASSISTANT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.