Active NPI
Paul Park, LMFT
- Marriage & Family Therapist
- Tustin, CA
National Provider Identifier
1932616034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 141218
- Practice address
- 18302 Irvine Blvd Ste 375
Tustin, CA 92780-3435 - Phone
- (714) 661-5390
- Fax
- (714) 661-5449
- NPI assigned
- Jan 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 | 141218 | CA | Primary |
Addresses
Primary practice location
18302 Irvine Blvd Ste 375
Tustin, CA 92780-3435
Mailing address
18302 Irvine Blvd Ste 375
Tustin, CA 92780-3435
Phone (714) 661-5390
Other practice location 1
680 Langsdorf Dr Ste 200
Fullerton, CA 92831-3702
Phone (714) 871-9264
Other practice location 2
6301 Beach Blvd Ste 245
Buena Park, CA 90621-4031
Phone (714) 736-0231 ext. 715
Other practice location 3
1215 W West Covina Pkwy
West Covina, CA 91790
Phone (626) 974-0770
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child Guidance Center, Inc. | Past | Accepting new patients | |
| Child Guidance Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Fullerton, CA
- NPI 1003936311
-
- Community/Behavioral Health Agency
- Buena Park, CA
- NPI 1740300128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1932616034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18302 IRVINE BLVD STE 375",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803435",
"telephone_number": "714-661-5390",
"fax_number": "714-661-5449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18302 IRVINE BLVD STE 375",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927803435",
"telephone_number": "714-661-5390",
"fax_number": "714-661-5449"
}
],
"practiceLocations": [
{
"address_1": "680 Langsdorf Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Fullerton",
"state": "CA",
"postal_code": "928313702",
"country_code": "US",
"telephone_number": "714-871-9264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6301 Beach Blvd Ste 245",
"address_purpose": "LOCATION",
"city": "Buena Park",
"state": "CA",
"postal_code": "906214031",
"country_code": "US",
"telephone_number": "714-736-0231 x715",
"fax_number": "714-736-0895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 W West Covina Pkwy",
"address_purpose": "LOCATION",
"city": "West Covina",
"state": "CA",
"postal_code": "91790",
"country_code": "US",
"telephone_number": "626-974-0770",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARK",
"first_name": "PAUL",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-10",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "141218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.