Organization Active NPI

At Your Service Mobile Unit

  • Health Service Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1669185237
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
AT YOUR SERVICE MOBILE UNIT
Practice address
11870 Santa Monica Blvd Ste 106-743
Los Angeles, CA 90025-2276
Phone
(425) 522-2333
Fax
(323) 395-0671
NPI assigned
Dec 28, 2022
Organization subpart
No

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

Authorized official

Name
Phabillia Borja, MDNPI 1346377736
Title
Owner/Ceo
Phone
(425) 522-2333

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Clinic/Center 261Q00000X
Health Service Clinic/Center 261QH0100X Primary
Point of Service 305S00000X

Addresses

Primary practice location

11870 Santa Monica Blvd Ste 106-743
Los Angeles, CA 90025-2276

Mailing address

11870 Santa Monica Blvd Ste 106-743
Los Angeles, CA 90025-2276
Phone (425) 522-2333

National Provider Directory

National Provider Directory

Locations

11870 Santa Monica Blvd
Ste 106743
West Los Angeles, CA 90025
Phone (425) 522-2333

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": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1669185237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11870 SANTA MONICA BLVD STE 106-743",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252276",
            "telephone_number": "425-522-2333",
            "fax_number": "323-395-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 SANTA MONICA BLVD STE 106-743",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252276",
            "telephone_number": "425-522-2333",
            "fax_number": "323-395-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AT YOUR SERVICE MOBILE UNIT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "BORJA",
        "authorized_official_first_name": "PHABILLIA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "425-522-2333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 24, 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.

Verify at the official NPI Registry.