Raha Borazjani, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA52894 Issued in CA

Practice address

6145 N Thesta St
Fresno, CA 93710-5266

Phone

(559) 446-1065

Fax

(559) 436-8193

NPI assigned

Nov 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Practice roles

Locations

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.

• City & County of San Francisco

  • Clinical Medical Laboratory
  • San Francisco, CA
  • NPI 1982737524
  Medicare reassignment
• City & County of San Francisco

  • Community Health/Public Health Clinical Nurse Specialist
  • San Francisco, CA
  • NPI 1609041060

  Physician Assistant

  NPD
• City and County of San Francisco

  • Methadone Clinic
  • San Francisco, CA
  • NPI 1578787925
  NPD
• Eric Ladenheim MD Inc

  • Surgery Physician
  • Fresno, CA
  • NPI 1346255924
  NPD (past)

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1962875062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 FRANKLIN ST APT 1402",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941092984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-446-1065",
            "fax_number": "559-436-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORAZJANI",
        "first_name": "RAHA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA52894",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA52894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISANT",
            "identifier": "PA52894",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhonda Beth Bopp
• Jana Nicole Sarigumba Boqueo
• Norma Neri Boquiren, R.N.
• Kevin J. Boran, M.D., FACC, FSCAI
• Christian Borashan, MD
• Brett Anthony Borba, PHARM.D.
• Karisa M Borba, O.D.
• Sean Patrick Borboa
• Harold Drew Borchardt, PA-C
• Kelby Borchgrevink

• Surgical Physician Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.