Pacific Trauma Specialists

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37375 Issued in CA

Legal business name

PACIFIC TRAUMA SPECIALISTS

Practice address

706 Natoma St
Folsom, CA 95630-3074

Phone

(916) 608-4569

NPI assigned

Feb 18, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Larson, MFCC

Title

Manager

Phone

(916) 712-0226

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1750773396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 NATOMA ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303074",
            "telephone_number": "916-608-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 NATOMA ST",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303074",
            "telephone_number": "916-608-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC TRAUMA SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-18",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-712-0226",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFCC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "37375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hemlata Oswal, M.D.
• Lalaine Garcia Otadoy, PMHNP-BC
• Michael G Outslay, PA-C
• Taylor Ozee
• Pacific Counseling and Trauma Center
• James Michael Padgett, DC
• Linette Booker Padgett, DC
• Dennis Peter Padla, MD
• Pegah Pajouhi, M.D.
• Byong J Pak, M.D.

• Marriage & Family Therapist in Folsom, CA
• Providers in Folsom, 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 Feb 18, 2015; 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.