Healthcare Provider Details

I. General information

NPI: 1689165276
Provider Name (Legal Business Name): KRISTIAN BOROFKA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2018
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9394 BIG HORN BLVD
ELK GROVE CA
95758-7977
US

IV. Provider business mailing address

9394 BIG HORN BLVD
ELK GROVE CA
95758-7977
US

V. Phone/Fax

Practice location:
  • Phone: 916-691-8500
  • Fax: 916-691-8589
Mailing address:
  • Phone: 916-691-8500
  • Fax: 916-691-8589

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number20A17605
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A17605
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: