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NPI Code Detail

MEDICARE: MICHAEL BORDOFSKY M D

MEDICARE: MICHAEL BORDOFSKY M D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician00G753640CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110138625OTHERCARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265629893
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL BORDOFSKY M D
Provider Business Mailing Address
First Line : PO BOX 50706
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93150-0706
Country : US
Telephone Number : 805-963-3336
Fax Number : 805-564-3332
Provider Business Practice Location Address
First Line : 515 E MICHELTORENA ST STE C
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93103-4223
Country : US
Telephone Number : 805-563-3234
Fax Number : 805-563-3130
Authorized Official
Title or Position : OWNER
Name : MICHAEL BORDOFSKY M D
Credential :
Telephone Number : 805-563-3234
Provider Enumeration Date : 09/27/2007
Last Update Date : 02/02/2026

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Directions to “MICHAEL BORDOFSKY M D ” Practice Location

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