MRS. BORA JI PA-C
NPI 1538488101
Physician Assistant - Medical in Fullerton, CA
About Mrs. Bora Ji Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. BORA JI PA-C (NPI 1538488101) is an individual medical provider in Fullerton, California, licensed in California (PA19789) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Bora Ji Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FULLERTON, CA 92835
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 Bora Ji's NPI number?
The NPI number for Bora Ji is 1538488101. It was assigned to this individual provider in the NPPES registry on May 21, 2010. The provider is also known as Mrs. Bo R Song Pa-C.
Where is Bora Ji located?
Bora Ji practices at 2720 N Harbor Blvd Suite 130, Fullerton, CA 92835. The listed phone number is (714) 449-6200.
What is Bora Ji's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Bora Ji enrolled in Medicare?
Yes. Bora Ji is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Bora Ji was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Mrs. Bora Ji, PA-C · NPI 1538488101
Medical physician in Fullerton, California. Individual provider, active in the CMS NPPES registry since May 21, 2010.
## Identity
- **NPI:** 1538488101 (Entity type: Individual)
- **Enumerated:** May 21, 2010
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA19789 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2720 N HARBOR BLVD, SUITE 130, Fullerton, CA 92835-2609
- **Phone:** (714) 449-6200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1538488101) · Data from the CMS NPPES public registry.