Individual provider Active NPI

Kristian Borofka, DO

  • Family Medicine Physician
  • Elk Grove, CA
National Provider Identifier
1689165276
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A17605 Issued in CA
Practice address
9394 Big Horn Blvd
Elk Grove, CA 95758-7977
Phone
(916) 691-8500
Fax
(916) 691-8589
NPI assigned
May 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20A17605 CA
Family Medicine Physician 207Q00000X 20A17605 CA Primary

Addresses

Primary practice location

9394 Big Horn Blvd
Elk Grove, CA 95758-7977

Mailing address

9394 Big Horn Blvd
Elk Grove, CA 95758-7977
Phone (916) 691-8500

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210915002059 CA Practitioner - HospitalistPractitioner - Family Practice 5799181863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Garcia Lee and Concepcion Medical Group IncGroup PAC ID 2769473735, 9 clinicians
Dignity Health Medical FoundationGroup PAC ID 7810800661, 1,211 clinicians

Practice addresses (Care Compare)

7248 S Land Park Dr
Suite 205
Sacramento, CA 95831-3661
Phone (916) 392-4000

8120 Timberlake Way
Suite 107
Sacramento, CA 95823-5413
Phone (916) 681-6000

Hospital & facility affiliations

  • Mercy General Hospital Hospital, Sacramento, CA, CCN 050017
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Methodist Hospital of Sacramento Hospital, Sacramento, CA, CCN 050590

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
17605CAMDAcupuncturist
20A17605CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 21, 2022 Accepting new patients
Garcia Lee and Concepcion Medical Group Inc Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Garcia, Lee & Concepcion Medical Group Family Medicine CurrentSince Oct 1, 2021 Accepting new patients
Dignity Health Medical Foundation CurrentSince Jun 21, 2022 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Community Care Past Accepting new patients
Dignity Health Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Dignity Health Past Accepting new patients
Sierra Nevada Memorial-Miners Hospital Past Accepting new patients

Locations

9394 Big Horn Blvd
Elk Grove, CA 95758
Phone (916) 351-4800

280 Sierra College Dr
Ste 120
Grass Valley, CA 95945
Phone (530) 477-4420

7248 S Land Park Dr
Ste 205
Sacramento, CA 95831
Phone (916) 392-4000

3000 Q St
Fl 1
Sacramento, CA 95816
Phone (916) 733-3301

8120 Timberlake Way
Ste 107
Sacramento, CA 95823
Phone (916) 681-6000

2101 Stone Blvd
Ste 190
West Sacramento, CA 95691
Phone (916) 371-4939

Interoperability endpoints

  • Direct secure messaging: kristian.borofka.1@18067.direct.athenahealth.com
  • Direct secure messaging: kborofka239027@hpmg.direct-ci.net

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1689165276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9394 BIG HORN BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587977",
            "telephone_number": "916-691-8500",
            "fax_number": "916-691-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9394 BIG HORN BLVD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587977",
            "telephone_number": "916-691-8500",
            "fax_number": "916-691-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROFKA",
        "first_name": "KRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-20",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20A17605",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.