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

Last updated

Mar 7, 2023By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Open Door Community Health Centers

  dba Del Norte Community Health Center

  • 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

  dba Open Door Downtown

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

  dba Behavioral Neuroscience Institute

  • 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": [],
    "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.