Javier Christopher Burboa, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

418 E Arbor Vitae St
Inglewood, CA 90301-3450

Phone

(310) 673-8600

Fax

(310) 673-9949

NPI assigned

Jun 2, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: javier.burboapa.p1@direct.ccchcenter.nextgenshare.com

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.

• Jose A Perez, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1104991561
  Medicare reassignment
• Advanced Community Medical Care Corp

  • Primary Care Clinic/Center
  • Inglewood, CA
  • NPI 1962851808
  NPD (past)

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1679893531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 E ARBOR VITAE ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013450",
            "telephone_number": "310-673-8600",
            "fax_number": "310-673-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 E ARBOR VITAE ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013450",
            "telephone_number": "310-673-8600",
            "fax_number": "310-673-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURBOA",
        "first_name": "JAVIER",
        "middle_name": "CHRISTOPHER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "PA20885",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaine Brumley
• Sommer Bryant
• Jazmin M Buford
• Adele Bulahan, FNP-C
• Bullis Family Medical
• Kristin Janette Burch, MSW
• Andre Burgess, D.D.S.
• Rogena Burrus, RNP
• Butterfly Love Residential Care Home LLC
• James Spencer Byas Jr., DDS MS

• Physician Assistant in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.