PRUSHA PAKTINAT CONNORS PA-C
NPI 1265880082
Physician Assistant in Los Angeles, CA

Active since June 02, 2016PECOS EnrolledAccepts Medicare Assignment
13365 W WASHINGTON BLVD, LOS ANGELES, CA 90066(310) 504-1829 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Prusha Paktinat Connors Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRUSHA PAKTINAT CONNORS PA-C (NPI 1265880082) is an individual physician assistant in Los Angeles, California and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1265880082
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePRUSHA PAKTINAT CONNORSCredential: PA-C
Location Address13365 W WASHINGTON BLVDLos Angeles, CA 90066-5134
Mailing Address13044 Mindanao Way Unit 2Marina Del Rey, CA 90292-7635 · (803) 984-5091
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 2, 2016
Last NPPES UpdateNovember 4, 2022
NPPES CertifiedNovember 4, 2022
NPI 1265880082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
13365 W WASHINGTON BLVD, Los Angeles, CA 90066

Other Names 1

Former Name (1)Prusha Paktinat

Secondary Practice Location 1

Location 12449 Federal AveLos Angeles, CA 90064-2914 · Phone (803) 984-5091

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Prusha Paktinat Connors Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274811203
PECOS Enrollment IDI20161026002255
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90066 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-Pharmacy Dispensing Site
13365 W WASHINGTON BLVD
LOS ANGELES, CA 90066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prusha Connors's NPI number?

The NPI number for Prusha Connors is 1265880082. It was assigned to this individual provider in the NPPES registry on June 2, 2016. The provider is also known as Prusha Paktinat.

Where is Prusha Connors located?

Prusha Connors practices at 13365 W Washington Blvd, Los Angeles, CA 90066. The listed phone number is (310) 504-1829.

What is Prusha Connors's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Prusha Connors enrolled in Medicare?

Yes. Prusha Connors is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Prusha Connors was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.