Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gibran Borja

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679125934

Gibran Borja is a Physician Assistant in West Jordan, Utah. Graduated from University of Utah School of Medicine in 2021, 5 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2019
Specialties on file
2

Practice location Address checks out

6921 S Jordan Village Rd
West Jordan, UT 84084-1789
Phone: (801) 448-2218
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 13252997-8002 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1679125934
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address6921 S Jordan Village Rd, West Jordan, UT 84084-1789

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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