Angelika Panova, MHPNP-RN/ LMFT

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95004867 Issued in CA

Practice address

7057 Gaskin PL
Riverside, CA 92506-5615

Phone

(714) 887-3816

Fax

(209) 203-1061

NPI assigned

Jul 29, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Angelika Panova Bohannan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Malibu Behavioral Health Services Inc

  dba 'South California Road to Recovery'

  • Substance Abuse Rehabilitation Facility
  • Riverside, CA
  • NPI 1225452691

  Marriage & Family Therapist

  NPD (past) Authorized official

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1992936678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 E IMPERIAL HWY",
            "address_2": "APT 226",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928701717",
            "telephone_number": "951-215-0881",
            "fax_number": "951-215-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 GASKIN PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925065615",
            "telephone_number": "714-887-3816",
            "fax_number": "209-203-1061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16365 Pick Pl",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925045638",
            "country_code": "US",
            "telephone_number": "714-887-3816",
            "fax_number": "209-203-1061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANOVA",
        "first_name": "ANGELIKA",
        "credential": "MHPNP-RN/ LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2026-02-12",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49586",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95004867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIKA",
            "last_name": "PANOVA BOHANNAN",
            "credential": "MHPNP-RN/ LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lucyana Magrietta Panjaitan, NURSE PRACTITIONER
• Ayisha Panlilio, RN
• Shannon Pannell
• Ascension Panno, AA
• Jaibir Singh Pannu, MD
• Valerie N Panowicz
• Nancy Pantoja
• Salvador Pantoja
• Denise Panton
• Monica Jeanne Pappapetru

• Psychiatric/Mental Health Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.