Pavan Basra, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

131482 Issued in CA

Practice address

13400 Riverside Dr
Sherman Oaks, CA 91423-2500

Phone

(818) 639-4321

NPI assigned

Feb 3, 2020

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1275164634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19300 RINALDI ST.",
            "address_2": "PO BOX 7141",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913272544",
            "telephone_number": "818-639-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 RIVERSIDE DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232500",
            "telephone_number": "818-639-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASRA",
        "first_name": "PAVAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Barstein, PHD
• Brett Kyle Bartels, MD
• Sharon Baruch-Sutton
• Rusel David Basco, DPT
• Mohammad Ali Bashyry Sr.
• Emad W Bassali, DDS
• Lynn Bassini, MA OTR CHT
• Erica Basso, LMFT
• Ronald Phillip Bataclan, NP
• Christine Vaughn Bauman, CMT

• Marriage & Family Therapist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.