Individual provider Active NPI

Boris H Borazjani, M.D.,M.P.H.

  • Trauma Surgery Physician
  • Mission Hills, CA
National Provider Identifier
1730356353
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
A90161 Issued in CA
Practice address
11550 Indian Hills Rd Ste 310
Mission Hills, CA 91345-1203
Phone
(818) 898-4900
Fax
(818) 898-4990
NPI assigned
May 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A90161 CA
Trauma Surgery Physician 2086S0127X A90161 CA Primary

Addresses

Primary practice location

11550 Indian Hills Rd Ste 310
Mission Hills, CA 91345-1203

Mailing address

35 E Glenarm St
Pasadena, CA 91105-3418
Phone (626) 768-4415

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
I20130729000767 CA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 9638310998 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
University of California, Irvine, California College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Surgeons of Orange a Medical Group 116 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 634-5549

11550 Indian Hills Rd
Suite 310
Mission Hills, CA 91345-1203
Phone (818) 898-4900

Hospital & facility affiliations

  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278
  • Natividad Medical Center Hospital, Salinas, CA, CCN 050248
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
90161CAMDPharmacist
A90161CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boris H Borazjani, M.D., Inc Trauma Surgery CurrentSince Aug 10, 2013 Accepting new patients
County of Monterey CurrentSince Aug 23, 2014 Accepting new patients
Providence Health System - Southern California CurrentSince Mar 2, 2014 Accepting new patients
County of Monterey Behavioral Health CurrentSince Aug 23, 2014 Accepting new patients
University Surgeons of Orange a Medical Group Surgery CurrentSince Jul 1, 2013 Accepting new patients
University of California Irvine Past Accepting new patients
University of California Irvine Past Accepting new patients
County of Monterey Past Accepting new patients

Locations

11550 Indian Hls
Ste 310
Mission Hills, CA 91345
Phone (818) 898-4900

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

101 The City Dr S
#B10
Orange, CA 92868
Phone (714) 634-5549

101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005

35 E Glenarm St
Pasadena, CA 91105
Phone (626) 768-4415

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

Organizations & group practices 8

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 4

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": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375056000000",
    "number": "1730356353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E GLENARM ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053418",
            "telephone_number": "626-768-4415",
            "fax_number": "626-403-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 INDIAN HILLS RD STE 310",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451203",
            "telephone_number": "818-898-4900",
            "fax_number": "818-898-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAZJANI",
        "first_name": "BORIS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.,M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2013-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A90161",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A90161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.