Active NPI
Judy Lam-Tran, MFT
- Marriage & Family Therapist
- Pasadena, CA
National Provider Identifier
1790941771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Practice address
- 920 Granite Dr.
Suite 105
Pasadena, CA 91101 - Phone
- (626) 594-5288
- NPI assigned
- Jul 30, 2008
- Reactivated
- Mar 18, 2019
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
920 Granite Dr.
Suite 105
Pasadena, CA 91101
Mailing address
920 Granite Dr.
Suite 105
Pasadena, CA 91101
Phone (626) 594-5288
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7184 | Other | CA | MEDICAL |
| 7368 | Other | CA | MEDICAL |
| 7667 | Other | CA | MEDICAL |
| 7708 | Other | CA | MEDICAL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1790941771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 GRANITE DR.",
"address_2": "SUITE 105",
"city": "PASADENA",
"state": "CA",
"postal_code": "91101",
"telephone_number": "626-594-5288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 GRANITE DR.",
"address_2": "SUITE 105",
"city": "PASADENA",
"state": "CA",
"postal_code": "91101",
"telephone_number": "626-594-5288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM-TRAN",
"first_name": "JUDY",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-30",
"last_updated": "2019-03-18",
"deactivation_date": "2019-02-25",
"reactivation_date": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "7184",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "7368",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "7667",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "7708",
"state": "CA"
}
],
"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 Mar 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.