Individual provider Active NPI

Jochen Strack, MSN, RN

  • Nurse Practitioner
  • Pasadena, CA
National Provider Identifier
1558712349
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95004990 Issued in CA
Practice address
1855 N Fair Oaks Ave # 200
Pasadena, CA 91103-1620
Phone
(626) 398-6300
NPI assigned
Jun 23, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95004990 CA Primary

Addresses

Primary practice location

1855 N Fair Oaks Ave # 200
Pasadena, CA 91103-1620

Mailing address

521 North Oakland
Pasadena, CA 91101-1111
Phone (909) 319-5846

Other practice location 1

521 North Oakland
Pasadena, CA 91101-1111
Phone (909) 319-5846

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)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95004990CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KTP Foot and Ankle Inc CurrentSince Nov 9, 2021 Accepting new patients

Locations

1855 N Fair Oaks Ave
#200
Pasadena, CA 91103

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.

NPI Registry JSON

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1558712349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 NORTH OAKLAND",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011111",
            "telephone_number": "909-319-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 N FAIR OAKS AVE # 200",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911031620",
            "telephone_number": "626-398-6300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "521 North Oakland",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911011111",
            "country_code": "US",
            "telephone_number": "909-319-5846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRACK",
        "first_name": "JOCHEN",
        "name_prefix": "Mr.",
        "credential": "MSN, RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95004990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.