Active NPI
Michael Carl Storrie-Lombardi, M.D.
- Psychiatry Physician
- Pasadena, CA
National Provider Identifier
1053688689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- CFE 34815
- Practice address
- 798 N Mar Vista Ave
Pasadena, CA 91104-4617 - Phone
- (626) 791-4206
- NPI assigned
- Nov 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD 13871 | WA | |
| Psychiatry Physician | 2084P0800X | CFE 34815 | CA | Primary |
Addresses
Primary practice location
798 N Mar Vista Ave
Pasadena, CA 91104-4617
Mailing address
798 N Mar Vista Ave
Pasadena, CA 91104-4617
Phone (626) 791-4206
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CFE 34815 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| MD 00013871 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CFE 34815 | CA | MD | Psychiatry Physician |
| MD 13871 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1053688689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "798 N MAR VISTA AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911044617",
"telephone_number": "626-791-4206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "798 N MAR VISTA AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911044617",
"telephone_number": "626-791-4206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORRIE-LOMBARDI",
"first_name": "MICHAEL",
"middle_name": "CARL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-28",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD 13871",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "CFE 34815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF CALIFORNIA",
"identifier": "CFE 34815",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "MD 00013871",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.