Linda Maepa, TRD

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

32 S Raymond Ave Ste 3
Pasadena, CA 91105-1961

Phone

(650) 241-2424

Fax

(650) 241-2424

NPI assigned

Apr 8, 2024

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gogo Pebetse Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1104679554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S RAYMOND AVE STE 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051961",
            "telephone_number": "650-241-2424",
            "fax_number": "650-241-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 S RAYMOND AVE STE 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051961",
            "telephone_number": "650-241-2424",
            "fax_number": "650-241-2424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Miramontes St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Half Moon Bay",
            "state": "CA",
            "postal_code": "940191942",
            "country_code": "US",
            "telephone_number": "650-241-2424",
            "fax_number": "650-241-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAEPA",
        "first_name": "LINDA",
        "credential": "TRD",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GOGO",
            "last_name": "PEBETSE",
            "credential": "SANGOMA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Natalie Madriz, MSW
• Vanessa Liliana Madson
• Ijeoma Chukwu Madu, MD
• Tochukwu Anthony Madu, MEDICAL DEGREE
• Anna Marie Madueke
• Frank Maez
• Jessica Lianna Maez, EDM, MA
• Cristina Lilian Magalhaes, PH.D.
• Birgeet Magallanes-Cercado
• Yvette Natalie Magallon

• Specialist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.