Individual provider Active NPI

Julia Marie Tirpak, MFT

  • Marriage & Family Therapist
  • La Mesa, CA
National Provider Identifier
1750302899
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 33562 Issued in CA
Practice address
8318 University Ave
Suite a- 5
La Mesa, CA 91941-3865
Phone
(619) 507-5590
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 33562 CA Primary

Addresses

Primary practice location

8318 University Ave
Suite a- 5
La Mesa, CA 91941-3865

Mailing address

8318 University Ave
Suite a- 5
La Mesa, CA 91941-3865
Phone (619) 507-5590

Other names 1

  • Ms. Julie Marie Tirpak Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916001104 CA Practitioner - Marriage and Family Therapist 9335680552 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 33562CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 23, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Jun 23, 2024 Accepting new patients

Locations

393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

Organizations & group practices 3

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750302899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8318 UNIVERSITY AVE",
            "address_2": "SUITE A- 5",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413865",
            "telephone_number": "619-507-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8318 UNIVERSITY AVE",
            "address_2": "SUITE A- 5",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413865",
            "telephone_number": "619-507-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRPAK",
        "first_name": "JULIA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 33562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "TIRPAK",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.