Individual provider Active NPI

Karina Handal

  • Medical Physician Assistant
  • Van Nuys, CA
National Provider Identifier
1508634403
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA64147 Issued in CA
Practice address
5805 Sepulveda Blvd Ste 690
Van Nuys, CA 91411-2522
Phone
(818) 900-6480
NPI assigned
Dec 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA64147 CA Primary

Addresses

Primary practice location

5805 Sepulveda Blvd Ste 690
Van Nuys, CA 91411-2522

Mailing address

5805 Sepulveda Blvd Ste 690
Van Nuys, CA 91411-2522
Phone (818) 900-6480

Other practice location 1

450 30th St
Oakland, CA 94609-3302
Phone (510) 869-9200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240606002131 CA Practitioner - Physician Assistant 9133661002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Multi-Specialty Center IncGroup PAC ID 4082953336, 16 clinicians

Practice addresses (Care Compare)

5805 Sepulveda Blvd
Suite 690
Sherman Oaks, CA 91411-2522
Phone (818) 900-6480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64147CAMDPharmacist
PA64147CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Multi-Specialty Center Inc CurrentSince Apr 24, 2024 Accepting new patients

Locations

19950 Rinaldi St
Ste 101D
Porter Ranch, CA 91326
Phone (818) 488-5188

18345 Ventura Blvd
Ste 510
Tarzana, CA 91356
Phone (818) 757-7600

26357 McBean Pkwy
Ste 255
Valencia, CA 91355
Phone (661) 222-2600

5805 Sepulveda Blvd
Ste 690
Van Nuys, CA 91411
Phone (818) 900-6480

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1703030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1508634403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 SEPULVEDA BLVD STE 690",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112522",
            "telephone_number": "818-900-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 SEPULVEDA BLVD STE 690",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112522",
            "telephone_number": "818-900-6480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 30th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093302",
            "country_code": "US",
            "telephone_number": "510-869-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANDAL",
        "first_name": "KARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-20",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA64147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.