Active NPI
Diana Hakim, PA-C
- Physician Assistant
- Tarzana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA56936
- Practice address
- 18133 Ventura Blvd Ste 401
Tarzana, CA 91356-3645 - Phone
- (424) 314-7784
- Fax
- (424) 314-7788
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | CA | ||
| Physician Assistant | 363A00000X | PA56936 | CA | Primary |
Addresses
Primary practice location
18133 Ventura Blvd Ste 401
Tarzana, CA 91356-3645
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Phone (424) 314-7784
Other names 1
- Diana Boktor
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
18133 Ventura Blvd
Suite 300
Tarzana, CA 91356-3645
Phone (818) 994-0101
8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56936 | CA | MD | Marriage & Family Therapist |
| PA56936 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients |
Locations
8501 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 248-7000
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
18133 Ventura Blvd
Ste 401
Tarzana, CA 91356
Phone (424) 314-7784
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
Interoperability endpoints
- dboktor217485@direct.cshs.org
Organizations & group practices 4
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753747200000",
"number": "1265093926",
"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",
"telephone_number": "424-314-7784",
"fax_number": "424-314-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18133 VENTURA BLVD STE 401",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563645",
"telephone_number": "424-314-7784",
"fax_number": "424-314-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIM",
"first_name": "DIANA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA56936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANA",
"last_name": "BOKTOR",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.