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DR. IRINA BORODULIN-SMIK PAC, DC
NPI 1629098116
Physician Assistant in Mountain View, CA

Active since July 20, 2006PECOS Enrolled
1674 N SHORELINE BLVD, MOUNTAIN VIEW, CA 94043(650) 386-0323 Get Directions Write a Review

NPPES record last updated: June 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 16, 2024, Oct 4, 2021, Oct 10, 2016 (3 updates tracked since 2016).

About Dr. Irina Borodulin-smik Pac, Dc NPPES

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

DR. IRINA BORODULIN-SMIK PAC, DC (NPI 1629098116) is an individual physician assistant in Mountain View, California, licensed in California (PA22970) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629098116
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDR. IRINA BORODULIN-SMIKCredential: PAC, DC
Location Address1674 N SHORELINE BLVDMountain View, CA 94043-1374
Mailing Address1674 N Shoreline BlvdMountain View, CA 94043-1374 · (408) 810-0404
Phone(650) 386-0323
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateJune 16, 20243 updates tracked since enumeration
NPPES CertifiedJune 16, 2024
✔ NPI 1629098116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA22970
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedChiropractorTaxonomy 111N00000X · License DC 27390 (CA)
1674 N SHORELINE BLVD, Mountain View, CA 94043
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Secondary Practice Locations 2

Location 1803 Eleventh AveSunnyvale, CA 94089-4731 · Phone (408) 228-1025
Location 2301 Old San Francisco RdSunnyvale, CA 94086-6386 · Phone (408) 730-4360

Other Identifiers 2

OtherZZZ64417Z-30CA · Blue Shield Of California
MedicaidDC0273900CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Irina Borodulin-smik Pac, Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94043 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 5

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

ALLEN ZENG
Family Medicine
1674 N SHORELINE BLVD
MOUNTAIN VIEW, CA 94043
Santa Clara County (888) 201-1937
ONE MEDICAL GROUP, INC.
Family Medicine
1674 N SHORELINE BLVD
MOUNTAIN VIEW, CA 94043
Santa Clara County (650) 227-1105
JASNEET DHILLON KULLAR M.D.
Internal Medicine
1674 N SHORELINE BLVD
MOUNTAIN VIEW, CA 94043
Santa Clara County (888) 201-1937
E.C.GALVAN DMD INC
Health Maintenance Organization
1674 N SHORELINE BLVD, STE. 126
MOUNTAIN VIEW, CA 94043
Santa Clara County (650) 968-6141
PREMISE HEALTH OF CALIFORNIA MEDICAL PC
Clinic/Center (Multi-Specialty)
1674 N SHORELINE BLVD
MOUNTAIN VIEW, CA 94043
Santa Clara County (650) 386-0323

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 Irina Borodulin-smik's NPI number?

The NPI number for Irina Borodulin-smik is 1629098116. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Irina Borodulin-smik located?

Irina Borodulin-smik practices at 1674 N Shoreline Blvd, Mountain View, CA 94043. The listed phone number is (650) 386-0323.

What is Irina Borodulin-smik's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Irina Borodulin-smik enrolled in Medicare?

Yes. Irina Borodulin-smik is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Irina Borodulin-smik was last updated on June 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.