ANDREA JUSTINE BORBA MD
NPI 1467081091
Dermatology in Redondo Beach, CA

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
514 N PROSPECT AVE STE 103, REDONDO BEACH, CA 90277(310) 937-8555(310) 937-8556 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrea Justine Borba Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA JUSTINE BORBA MD (NPI 1467081091) is an individual dermatology provider in Redondo Beach, California, licensed in California (A2034360) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467081091
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameANDREA JUSTINE BORBACredential: MD
Location Address514 N PROSPECT AVE STE 103Redondo Beach, CA 90277-3037
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Fax(310) 937-8556
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1467081091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · A2034360
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License A2034360 (CA)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License A2034360 (CA)
514 N PROSPECT AVE STE 103, Redondo Beach, CA 90277

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Justine Borba Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830511617
PECOS Enrollment IDI20250819004092
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Andrea Borba reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dermatology
200 MEDICAL PLZ, SUITE 450,465
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 65 clinicians in this Medicare group
Internal Medicine
200 MEDICAL PLAZA, SUITE 365,530,420,250,120,214
Los Angeles, CA 90095
  • Reassigned Medicare billing, California enrollment
  • 1,766 clinicians in this Medicare group
Pediatrics
210 MEDICAL CENTER DRIVE
Philipsburg, PA 16866
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90277 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
514 N PROSPECT AVE STE 103
REDONDO BEACH, CA 90277
Hospitalist
514 N PROSPECT AVE STE 103
REDONDO BEACH, CA 90277
Nurse Practitioner (Family)
514 N PROSPECT AVE STE 103
REDONDO BEACH, CA 90277
Internal Medicine
514 N PROSPECT AVE STE 103
REDONDO BEACH, CA 90277
Family Medicine
514 N PROSPECT AVE STE 103
REDONDO BEACH, CA 90277
Family Medicine
514 N PROSPECT AVE STE 103
REDONDO BEACH, CA 90277
Dermatology
514 N PROSPECT AVE STE 103
REDONDO BEACH, CA 90277
Nurse Practitioner (Family)
514 N PROSPECT AVE STE 103
REDONDO BEACH, CA 90277

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Borba's NPI number?

The NPI number for Andrea Borba is 1467081091. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Andrea Borba located?

Andrea Borba practices at 514 N Prospect Ave Ste 103, Redondo Beach, CA 90277. The listed phone number is (310) 937-8555.

What is Andrea Borba's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Andrea Borba enrolled in Medicare?

Yes. Andrea Borba is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Andrea Borba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Borba reassigns Medicare benefits to 3 organizations: The Regents Of The University Of California (Los Angeles, CA), The Regents Of The University Of California (Los Angeles, CA) and Geisinger Clinic (Philipsburg, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Borba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Borba was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.