BORNA SAMET SHIRVANI MD
NPI 1780211714
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since March 27, 2020PECOS EnrolledAccepts Medicare Assignment
1200 N. STATE STREET, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(714) 418-3246 Get Directions Write a Review

NPPES record last updated: March 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Borna Samet Shirvani Md NPPES

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

BORNA SAMET SHIRVANI MD (NPI 1780211714) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780211714
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBORNA SAMET SHIRVANICredential: MD
Location Address1200 N. STATE STREET, CLINIC TOWER, SUITE A7DLos Angeles, CA 90033-1029
Mailing Address35 SorensonIrvine, CA 92602-1644 · (714) 418-3246
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 27, 2020
NPPES CertifiedMarch 27, 2020
NPI 1780211714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1200 N. STATE STREET, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Borna Samet Shirvani 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 ID8123568011
PECOS Enrollment IDI20240905004560
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.

Other Providers at the Same Location NPPES 14

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

Orthopaedic Surgery (Sports Medicine)
1200 N. STATE STREET, GNH 3900
LOS ANGELES, CA 90033
Otolaryngology
1200 N. STATE STREET, CLINIC TOWER, SUITE A2E
LOS ANGELES, CA 90033
Emergency Medicine
1200 N. STATE STREET, GNH 1011
LOS ANGELES, CA 90033
Emergency Medicine
1200 N. STATE STREET, GNH 1060K
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N. STATE STREET, CLINIC TOWER, 2ND FLOOR, ROOM 2B300
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N. STATE STREET, GNH 1060K
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N. STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Obstetrics & Gynecology (Reproductive Endocrinology)
1200 N. STATE STREET, IPT C3F107
LOS ANGELES, CA 90033

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 Borna Shirvani's NPI number?

The NPI number for Borna Shirvani is 1780211714. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Borna Shirvani located?

Borna Shirvani practices at 1200 N. State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (714) 418-3246.

What is Borna Shirvani's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Borna Shirvani enrolled in Medicare?

Yes. Borna Shirvani 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.

When was this NPI record last updated?

The NPPES record for Borna Shirvani was last updated on March 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.