Tina Marie Paschen, IBCLC, BA

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-165463

Practice address

1752 Kelton Ave
Los Angeles, CA 90024-5508

Phone

(310) 401-4851

NPI assigned

Mar 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tina Bruna Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1584748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1073149084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1752 KELTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245508",
            "telephone_number": "310-401-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 KELTON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900245508",
            "telephone_number": "310-401-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCHEN",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "IBCLC, BA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-21",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": "L-165463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "BRUNA",
            "credential": "IBCLC, BA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Pascal
• William Pascale
• Derek Pascarella, M.A.
• Erik Sean Paschall, M.D., M.P.H.
• Earlene Denise Paschel
• Brian A Pasco, PTA
• Connie Millare Pasco, DMD
• Pascon
• Christopher Revilla Pascua, RESPIRATORY
• Domeryne Pascua, PT, DPT

• Lactation Consultant (Non-RN) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Lactation Consultant (Non-RN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; 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.