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SHADY BORNA
NPI 1497031710
Physician Assistant in Los Angeles, CA

Active since November 01, 2011
348 S. HAUSER BLVD APT 102, LOS ANGELES, CA 90036(818) 640-9716 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shady Borna NPPES

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

SHADY BORNA (NPI 1497031710) is an individual physician assistant in Los Angeles, California, licensed in California (19929) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1497031710
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHADY BORNA
Location Address348 S. HAUSER BLVD APT 102Los Angeles, CA 90036-3293
Mailing Address348 S. Hauser Blvd Apt 102Los Angeles, CA 90036-3293 · (818) 640-9716
Phone(818) 640-9716
Sole ProprietorYes
Enumeration DateNovember 1, 2011
✔ NPI 1497031710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 19929
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.
348 S. HAUSER BLVD APT 102, Los Angeles, CA 90036
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Other Names 1

Other Name (5)Shady Borna Nassi Pa-c

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 Shady Borna's NPI number?

The NPI number for Shady Borna is 1497031710. It was assigned to this individual provider in the NPPES registry on November 1, 2011. The provider is also known as Shady Borna Nassi Pa-C.

Where is Shady Borna located?

Shady Borna practices at 348 S. Hauser Blvd Apt 102, Los Angeles, CA 90036. The listed phone number is (818) 640-9716.

What is Shady Borna's specialty?

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

When was this NPI record last updated?

The NPPES record for Shady Borna was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.