Individual provider Active NPI

Pascal Daniel Stirnimann, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1336736875
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95029688 Issued in CA
Practice address
21535 Hawthorne Blvd Ste 200
Torrance, CA 90503-6612
Phone
(925) 282-1778
Fax
(415) 296-5299
NPI assigned
Dec 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95029688 CA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404181 NY

Addresses

Primary practice location

21535 Hawthorne Blvd Ste 200
Torrance, CA 90503-6612

Mailing address

21535 Hawthorne Blvd Ste 200
Torrance, CA 90503-6612
Phone (925) 282-1778

Other practice location 1

1990 Westchester Ave Ste B
Bronx, NY 10462-4553
Phone (718) 792-9937 ext. 33

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221209000530 NY Practitioner - Nurse Practitioner 9436528692 Reassigns benefits to 1 organization
I20240816003362 CA Practitioner - Nurse Practitioner 9436528692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Coast Psychiatric Associates IncGroup PAC ID 2567469174, 637 clinicians
Steven L Mandel M D a Professional CorporationGroup PAC ID 9133206493, 3 clinicians

Practice addresses (Care Compare)

21535 Hawthorne Blvd
Suite 200
Torrance, CA 90503-6612
Phone (925) 282-1778

6801 Park Ter
Suite 525
Los Angeles, CA 90045-1542
Phone (310) 270-0625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95029688CAMDPsychiatric/Mental Health Nurse Practitioner
404181NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Aug 19, 2024 Accepting new patients
Steven L Mandel M D a Professional Corporation CurrentSince Sep 1, 2024 Accepting new patients
Catholic Guardian Services CurrentSince Oct 24, 2022 Accepting new patients
The Institute for Family Health PastSince Oct 24, 2022 Accepting new patients
Ketamine Clinics LLC PastSince Sep 1, 2024 Accepting new patients

Locations

6801 Park Ter
Ste 525
Los Angeles, CA 90045
Phone (310) 270-0625

6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

21535 Hawthorne Blvd
Ste 200
Torrance, CA 90503
Phone (925) 744-6013

1990 Westchester Ave
Ste B
Bronx, NY 10462
Phone (347) 361-1276

1990 Westchester Ave
Bronx, NY 10462
Phone (718) 239-1610

1011 1st Ave
Fl 10
New York, NY 10022
Phone (212) 371-1000

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.pascalstirnimann@148377.advancedmd-direct.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1336736875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21535 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036612",
            "telephone_number": "925-282-1778",
            "fax_number": "415-296-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21535 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036612",
            "telephone_number": "925-282-1778",
            "fax_number": "415-296-5299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 Westchester Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104624553",
            "country_code": "US",
            "telephone_number": "718-792-9937 x33",
            "fax_number": "718-792-9803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STIRNIMANN",
        "first_name": "PASCAL",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95029688",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404181",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.