Borko B Djordjevic, M.D., PHD., F.I.C.S.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

CA A31228 Issued in CA

Practice address

8680 Monroe CT
Suites 100 & 200
Rancho Cucamonga, CA 91730-4880

Phone

(909) 483-1700

Fax

(909) 989-6682

NPI assigned

Jun 29, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871790147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2788",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917292788",
            "telephone_number": "909-483-1700",
            "fax_number": "909-989-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8680 MONROE CT",
            "address_2": "SUITES 100 & 200",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304880",
            "telephone_number": "909-483-1700",
            "fax_number": "909-989-6682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJORDJEVIC",
        "first_name": "BORKO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD., F.I.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "CA A31228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.