Individual provider Active NPI

Raquel Sharaf

  • Physician Assistant
  • Agoura Hills, CA
National Provider Identifier
1598580342
Registry record updated Sep 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA66234 Issued in CA
Practice address
28038 Dorothy Dr Ste 200
Agoura Hills, CA 91301-4968
Phone
(747) 309-9619
NPI assigned
Nov 18, 2024
Last updated
Sep 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA66234 CA Primary

Addresses

Primary practice location

28038 Dorothy Dr Ste 200
Agoura Hills, CA 91301-4968

Mailing address

4850 Hollywood Blvd Apt 313
Los Angeles, CA 90027-3267
Phone (213) 924-8566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA66234CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758412800000",
    "number": "1598580342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 HOLLYWOOD BLVD APT 313",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900273267",
            "telephone_number": "213-924-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28038 DOROTHY DR STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014968",
            "telephone_number": "747-309-9619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARAF",
        "first_name": "RAQUEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2025-09-21",
        "certification_date": "2025-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA66234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.