Individual provider Active NPI

Bita Joobbani, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1205299559
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56664 Issued in CA
Practice address
8635 W 3Rd St Ste 770W
Los Angeles, CA 90048-6101
Phone
(310) 423-2129
Fax
(310) 248-8596
NPI assigned
Apr 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108911 FL
Physician Assistant 363A00000X 56664 CA Primary

Addresses

Primary practice location

8635 W 3Rd St Ste 770W
Los Angeles, CA 90048-6101

Mailing address

4140 W 190TH St
Torrance, CA 90504-5513

Other practice location 1

1860 Pennsylvania Ave Ste 230
Fairfield, CA 94533-3550
Phone (707) 646-4370

Other practice location 2

4650 Lincoln Blvd
Marina Del Rey, CA 90292-6306
Phone (310) 823-8911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161021000237 MD Practitioner - Physician Assistant 3678851938 Reassigns benefits to 2 organizations
I20190521002224 CA Practitioner - Physician Assistant 3678851938 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Phone (310) 823-8911

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56664CAMDGeneral Practice Dentistry
PA9108911FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore, Inc. CurrentSince Oct 24, 2016 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Sinai Hospital of Baltimore Inc CurrentSince Oct 24, 2016 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Northbay Healthcare Group CurrentSince Apr 22, 2019 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jun 19, 2023 Accepting new patients

Locations

1860 Pennsylvania Ave
Ste 230
Fairfield, CA 94533
Phone (707) 646-4000

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

444 S San Vicente Blvd
Ste 800
Los Angeles, CA 90048
Phone (310) 423-9769

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 577-5505

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

2401 W Belvedere Ave
Baltimore, MD 21215

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

5051 Greenspring Ave
Baltimore, MD 21209
Phone (410) 601-1441

5415 Old Court Rd
Ste S04
Randallstown, MD 21133
Phone (410) 701-4437

Interoperability endpoints

  • Direct secure messaging: bjoobbani236670@direct.cshs.org

Organizations & group practices 10

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1205299559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 W 190TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905045513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 770W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486101",
            "telephone_number": "310-423-2129",
            "fax_number": "310-248-8596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Pennsylvania Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945333550",
            "country_code": "US",
            "telephone_number": "707-646-4370",
            "fax_number": "707-646-4381",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4650 Lincoln Blvd",
            "address_purpose": "LOCATION",
            "city": "Marina Del Rey",
            "state": "CA",
            "postal_code": "902926306",
            "country_code": "US",
            "telephone_number": "310-823-8911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOOBBANI",
        "first_name": "BITA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108911",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.