Amanda Nicole Bisharat

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA56005 Issued in CA

Practice address

23929 McBean Pkwy Ste 215
Valencia, CA 91355-4468

Phone

(661) 799-2542

NPI assigned

Jan 19, 2019

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

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.

• Neurosurgical Associates of Los Angeles, Inc.

  • Neurological Surgery Physician
  • Valencia, CA
  • NPI 1316025836
  Medicare reassignment

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

{
    "created_epoch": "1547856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1427522713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 N OSAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342954",
            "telephone_number": "773-803-6023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23929 MCBEAN PKWY STE 215",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913554468",
            "telephone_number": "661-799-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHARAT",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-19",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bingham, M.D.
• Robin Binnie, M.A.
• Bioness Inc.
• Bioness Medical, Inc.
• Bipin D. Patel, M.D., Inc.
• Gloria Bishop, BCBA
• John G Bishop, DDS
• Tarek Bittar, MD
• Tiffany Marie Bitting, M.S.
• Black Rock Medical Care, Inc. (Henry Mayo Urgent Care Center)

• Physician Assistant in Valencia, CA
• Providers in Valencia, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.