Active NPI
Bradley Chet Lovegren, LMFT
- Marriage & Family Therapist
- Los Gatos, CA
National Provider Identifier
1235979592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 131517
- Practice address
- 15047 Los Gatos Blvd Ste 200
Los Gatos, CA 95032-2054 - Phone
- (408) 364-6799
- NPI assigned
- May 24, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 131517 | CA | Primary |
Addresses
Primary practice location
15047 Los Gatos Blvd Ste 200
Los Gatos, CA 95032-2054
Mailing address
665 Roble Ave Apt K
Menlo Park, CA 94025-4821
Phone (650) 387-8111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131517 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Pain Management Medical Group, Inc. | Current | Accepting new patients |
Locations
15047 Los Gatos Blvd
Ste 200
Los Gatos, CA 95032
Phone (408) 364-6799
7907 Ostrow St
Ste F
San Diego, CA 92111
Phone (858) 300-8282
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Walnut Creek, CA
- NPI 1922198779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1235979592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 ROBLE AVE APT K",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940254821",
"telephone_number": "650-387-8111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15047 LOS GATOS BLVD STE 200",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322054",
"telephone_number": "408-364-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVEGREN",
"first_name": "BRADLEY",
"middle_name": "CHET",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-24",
"last_updated": "2024-05-24",
"certification_date": "2024-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "131517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.