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DR. MICHAEL ELLIOT BOROK MD NPI 1457379000


NPI Profile

NPI: 1457379000
Provider Name: DR. MICHAEL ELLIOT BOROK, MD
Classification:Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 05D0556967

Address:
17075 DEVONSHIRE ST
SUITE 203
NORTHRIDGE, CA
ZIP 91325
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Phone: (818) 832-7898

DR. Michael Elliot Borok, MD is a specialist in Northridge, CA with 39 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Michael Elliot Borok, MD NPI is 1457379000. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduation Year:1982

The provider's business location address is:

17075 DEVONSHIRE ST
SUITE 203
NORTHRIDGE, CA
ZIP 91325
Phone: (818) 832-7898
Fax: (818) 832-7947

The NPI 1457379000 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0556967 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Biopsy of single growth of skin and/or tissue (HCPCS:11100)

The enumeration date for this NPI number is 7/18/2006 and was last updated on 7/24/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathologyG50681CALIFORNIANo
2207NS0135XDermatologyProcedural DermatologyG50681CALIFORNIANo
3174400000XSpecialistG50681CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A51775MEDICARE UPINCALIFORNIA
2G50681AMEDICARE PINCALIFORNIA
3AB2534609OTHERCALIFORNIADEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 9/12/2021

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.