KESARA BORIRAKCHANYAVAT MD
NPI 1962580506
Dermatology in Panorama City, CA

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
13652 CANTARA ST, PANORAMA CITY, CA 91402(818) 375-3030 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kesara Borirakchanyavat Md NPPES

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

KESARA BORIRAKCHANYAVAT MD (NPI 1962580506) is an individual dermatology provider in Panorama City, California, licensed in California (A76396) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Chicago, Pritzker School Of Medicine (1997).

NPPES Registry Identity

NPI1962580506
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKESARA BORIRAKCHANYAVATCredential: MD
Location Address13652 CANTARA STPanorama City, CA 91402-5423
Mailing Address4285 Farmdale AveStudio City, CA 91604-2734 · (415) 377-0999
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1997
Enumeration DateNovember 1, 2006
Last NPPES UpdateNovember 29, 2021
NPI 1962580506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in CA · A76396
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.
13652 CANTARA ST, Panorama City, CA 91402

Other Identifiers 1

Medicaid00A763960CA

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

Kesara Borirakchanyavat 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 ID9638350630
PECOS Enrollment IDI20110224000095
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 91402 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 20

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

Pharmacist
13652 CANTARA ST, INPATIENT PHARMACY
PANORAMA CITY, CA 91402
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Psychiatry & Neurology (Psychiatry)
13652 CANTARA ST
PANORAMA CITY, CA 91402
Internal Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402
Dietitian, Registered
13652 CANTARA ST, PANORAMA CITY
PANORAMA CITY, CA 91402
Pharmacist
13652 CANTARA ST
PANORAMA CITY, CA 91402
Nurse Practitioner
13652 CANTARA ST
PANORAMA CITY, CA 91402
Family Medicine
13652 CANTARA ST
PANORAMA CITY, CA 91402

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 Kesara Borirakchanyavat's NPI number?

The NPI number for Kesara Borirakchanyavat is 1962580506. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Kesara Borirakchanyavat located?

Kesara Borirakchanyavat practices at 13652 Cantara St, Panorama City, CA 91402. The listed phone number is (818) 375-3030.

What is Kesara Borirakchanyavat's specialty?

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

Is Kesara Borirakchanyavat enrolled in Medicare?

Yes. Kesara Borirakchanyavat 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 Kesara Borirakchanyavat was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.