Active NPI
Prague Robert
- Marriage & Family Therapist
- Irwindale, CA
National Provider Identifier
1922946706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 162007
- Practice address
- 13001 Ramona Blvd Ste J
Irwindale, CA 91706-3752 - Phone
- (646) 525-6003
- NPI assigned
- Mar 23, 2026
- Last updated
- Mar 23, 2026
- Sex
- Male
- 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 | 162007 | CA | Primary |
Addresses
Primary practice location
13001 Ramona Blvd Ste J
Irwindale, CA 91706-3752
Mailing address
4015 3Rd Ave
Los Angeles, CA 90008-2707
Phone (646) 525-6003
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
| License | State | Type | Specialty |
|---|---|---|---|
| 162007 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1922946706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4015 3RD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900082707",
"telephone_number": "646-525-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13001 RAMONA BLVD STE J",
"city": "IRWINDALE",
"state": "CA",
"postal_code": "917063752",
"telephone_number": "646-525-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERT",
"first_name": "PRAGUE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-23",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "162007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irwindale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.