Brian Pak, BA

Primary specialty

Drama TherapistTaxonomy code 101200000X

Practice address

12334 Main St
Las Vegas, NV 89505

Phone

(636) 737-7777

NPI assigned

Mar 15, 2017

Last updated

Jun 1, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1265973861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 S MAIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041028",
            "telephone_number": "736-736-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12334 MAIN ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89505",
            "telephone_number": "636-737-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAK",
        "first_name": "BRIAN",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-15",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101200000X",
            "taxonomy_group": "",
            "desc": "Drama Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jinnah Zhannel Parlade Pajarillo
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• Jason Pak
• Joseph Sunho Pak I
• Ronald Sunil Pak, PSYD, LMFT
• Shane S Pak, MD

• Drama Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Drama Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.