Individual provider Active NPI

Jeffrey A. Pash

  • Marriage & Family Therapist
  • Los Alamitos, CA
National Provider Identifier
1043341332
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
41774 Issued in CA
Practice address
11110 Los Alamitos Blvd
Suite 215
Los Alamitos, CA 90720-3602
Phone
(714) 833-1569
Fax
(562) 981-2622
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 41774 CA Primary

Addresses

Primary practice location

11110 Los Alamitos Blvd
Suite 215
Los Alamitos, CA 90720-3602

Mailing address

11110 Los Alamitos Blvd
Suite 215
Los Alamitos, CA 90720-3602
Phone (714) 833-1569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377475200000",
    "number": "1043341332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 LOS ALAMITOS BLVD",
            "address_2": "SUITE 215",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203602",
            "telephone_number": "714-833-1569",
            "fax_number": "562-981-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 LOS ALAMITOS BLVD",
            "address_2": "SUITE 215",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203602",
            "telephone_number": "714-833-1569",
            "fax_number": "562-981-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASH",
        "first_name": "JEFFREY",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2013-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "41774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.