MEDICARE: HAMZAA GHANI PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	363AM0700X	Medical Physician Assistant		CA

General Provider Information

NPI Number	:	1497432686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAMZAA GHANI PA

Provider Business Mailing Address
First Line	:	2575 YORBA LINDA BLVD
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92831-1615
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	31571 CANYON ESTATES DR STE 228
Second Line	:
City	:	LAKE ELSINORE
State	:	CA
Zip	:	92532-0425
Country	:	US
Telephone Number	:	951-902-3451
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2023
Last Update Date	:	03/23/2025

Similar Medicare Providers

1396405312 — SERGIO NATHANIEL AVILA
Practice Location Address:

31571 CANYON ESTATES DR STE 228
LAKE ELSINORE, CA
92532-0425

Practice Phone: 951-471-0200
Practice Fax:

1235272568 — CENTRAL LAKE PHARMACY INC
Practice Location Address:

2424 N MAIN STREET
CENTRAL LAKE, MI
49622-0425

Practice Phone: 231-544-2929
Practice Fax: 231-544-5408

1922308485 — KRISTINA M DAVIES
Practice Location Address:

PO BOX 7425
SOUTH LAKE TAHOE, CA
96158-0425

Practice Phone: 619-920-4690
Practice Fax:

1457222143 — ZENITHRX PHARMACY, INC.
Practice Location Address:

31571 CANYON ESTATES DR STE 118
LAKE ELSINORE, CA
92532-0471

Practice Phone: 951-245-4488
Practice Fax: 951-245-4466

1811999261 — DR. MOHAMMAD REZA DANESH M.D.
Practice Location Address:

31581 CANYON ESTATES DR
LAKE ELSINORE, CA
92532-0424

Practice Phone: 951-244-3500
Practice Fax: 951-244-3535

1699720912 — NATIONAL VISION, INC.
Practice Location Address:

31700 GRAPE ST
LAKE ELSINORE, CA
92532-9785

Practice Phone: 951-245-3606
Practice Fax:

Directions to “ HAMZAA GHANI PA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.