Active NPI
Hugo Pastore, MFT
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1386763506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 45816
- Practice address
- 3910 Oakwood Ave
Los Angeles, CA 90004-3413 - Phone
- (323) 953-7350
- Fax
- (323) 661-7306
- NPI assigned
- Mar 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 45816 | CA | Primary |
Addresses
Primary practice location
3910 Oakwood Ave
Los Angeles, CA 90004-3413
Mailing address
2132 W 237TH St
Torrance, CA 90501-6015
Phone (310) 530-9939
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00007300 | Medicaid | CA | |
| CB20940 | Other | CA | LA DMH PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45816 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Kids Organization | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Community/Behavioral Health Agency
- Los Angeles, CA
- NPI 1174659957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1386763506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2132 W 237TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905016015",
"telephone_number": "310-530-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3910 OAKWOOD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043413",
"telephone_number": "323-953-7350",
"fax_number": "323-661-7306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTORE",
"first_name": "HUGO",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "45816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00007300",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA DMH PROVIDER",
"identifier": "CB20940",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.