Active NPI
Pete Borboa, D.C.
- Rehabilitation Chiropractor
- Encino, CA
National Provider Identifier
1740456540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC29722
- Practice address
- 16161 Ventura Blvd Ste 227
Encino, CA 91436-2572 - Phone
- (818) 788-2884
- Fax
- (818) 788-0507
- NPI assigned
- May 1, 2008
- 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 |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC29722 | CA | Primary |
Addresses
Primary practice location
16161 Ventura Blvd Ste 227
Encino, CA 91436-2572
Mailing address
2159 W 20TH St
Los Angeles, CA 90018-1407
Phone (213) 268-7499
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 |
|---|---|---|---|
| DC29722 | CA | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1740456540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2159 W 20TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900181407",
"telephone_number": "213-268-7499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16161 VENTURA BLVD STE 227",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362572",
"telephone_number": "818-788-2884",
"fax_number": "818-788-0507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORBOA",
"first_name": "PETE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-01",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "CA",
"license": "DC29722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.