Individual provider Active NPI

Pamela G Lewis-Nunez, LMFT

  • Marriage & Family Therapist
  • Torrance, CA
National Provider Identifier
1881085041
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT84784 Issued in CA
Practice address
16714 Kornblum Ave
Torrance, CA 90504-1216
Phone
(310) 567-5707
NPI assigned
Feb 10, 2015
Reactivated
May 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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 LMFT84784 CA Primary

Addresses

Primary practice location

16714 Kornblum Ave
Torrance, CA 90504-1216

Mailing address

16714 Kornblum Ave
Torrance, CA 90504-1216
Phone (310) 567-5707

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

LicenseStateTypeSpecialty
LMFT84784CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1881085041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16714 KORNBLUM AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905041216",
            "telephone_number": "310-567-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16714 KORNBLUM AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905041216",
            "telephone_number": "310-567-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS-NUNEZ",
        "first_name": "PAMELA",
        "middle_name": "G",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "deactivation_date": "2019-09-18",
        "reactivation_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT84784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.