Hanna Boparai, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

60759 Issued in CA

Practice address

30954 Lobo Canyon Rd
Agoura Hills, CA 91301-3402

Phone

(747) 284-5700

NPI assigned

Oct 17, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Open Door Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Crescent City, CA
  • NPI 1497840656
  Medicare reassignment NPD
• Southern California TMS Center Inc

  • Adult Mental Health Clinic/Center
  • Pasadena, CA
  • NPI 1275822751
  Medicare reassignment NPD
• Open Door Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Eureka, CA
  • NPI 1831713452
  NPD
• Aminzadeh and Ahmadpour Medical Corporaiton

  • Psychiatry Physician
  • Agoura Hills, CA
  • NPI 1750677324
  NPD (past)
• Bni Treatment Centers

  • Adolescent and Children Mental Health Clinic/Center
  • Agoura Hills, CA
  • NPI 1568964138
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083377006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 VARIEL AVE APT 435",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913673858",
            "telephone_number": "714-614-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30954 LOBO CANYON RD",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913013402",
            "telephone_number": "747-284-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28038 Dorothy Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Agoura Hills",
            "state": "CA",
            "postal_code": "913014968",
            "country_code": "US",
            "telephone_number": "310-691-5005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOPARAI",
        "first_name": "HANNA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2023-03-07",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT BOARD",
            "identifier": "60759",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bni Treatment Centers
• Tracey Boldemann-Tatkin, PHD, AMFT
• David Alan Bonfanti II, LMFT # 43891
• Samantha Bookman, MFT
• Geoffrey A Booth, M.D.
• Steven F Bowen
• Macara Monroe Brachmann
• Brainlab Medical
• Genevieve Brando
• Beatrice Braun, AU.D.

• Physician Assistant in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.