Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Prusha Paktinat Connors, PA-C

Individual provider Physician Assistant · NPI 1265880082

Prusha Paktinat Connors, PA-C is a Physician Assistant in Los Angeles, California. Qualified in 2016, 10 years ago. Practices with Howard L Sofen MD a Medical Corporation, a 4-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13365 W Washington Blvd
Los Angeles, CA 90066-5134
Phone: (310) 504-1829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2449 Federal Ave, Los Angeles, CA 90064-2914 — (803) 984-5091

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1265880082
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 2, 2016
Last updated in NPPESNovember 4, 2022
Certification dateNovember 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Howard L Sofen Md A Medical Corporation — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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