John Pae

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95035307 Issued in CA

Practice address

3619 N Mission Rd
Lincoln Heights, CA 90031-3136

Phone

(213) 271-0100

NPI assigned

Nov 29, 2016

Last updated

Oct 1, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• John Pae Other name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: johnnypae-cri-help@lacsapc.netsmartdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thrive Mind Health Inc.

  • Psychiatry Physician
  • Sherman Oaks, CA
  • NPI 1619693256
  Medicare reassignment NPD
• Los Angeles County Department of Public Health

  • Public Health or Welfare Agency
  • Alhambra, CA
  • NPI 1700090834
  NPD

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1932642691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3619 N MISSION RD",
            "city": "LINCOLN HEIGHTS",
            "state": "CA",
            "postal_code": "900313136",
            "telephone_number": "213-271-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3619 N MISSION RD",
            "city": "LINCOLN HEIGHTS",
            "state": "CA",
            "postal_code": "900313136",
            "telephone_number": "213-271-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6851 Lennox Ave Ste 405",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914054075",
            "country_code": "US",
            "telephone_number": "866-557-7924",
            "fax_number": "833-328-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2029 Keith St",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900313128",
            "country_code": "US",
            "telephone_number": "818-985-8323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9420 Noble Ave Unit 108",
            "address_purpose": "LOCATION",
            "city": "North Hills",
            "state": "CA",
            "postal_code": "913437824",
            "country_code": "US",
            "telephone_number": "818-455-7653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15445 Ventura Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914033028",
            "country_code": "US",
            "telephone_number": "818-342-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 Burns Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900292702",
            "country_code": "US",
            "telephone_number": "323-222-1440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11027 Burbank Blvd",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916012431",
            "country_code": "US",
            "telephone_number": "818-985-8323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAE",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95035307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "PAE",
            "credential": "PMHNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Olivia Midby
• Melissa Miller, RADT
• Aren Minassi
• Fredderman Munoz
• Karl Matthew Nord
• Anita Nicole Peddada
• Daniel Perez
• Shaun Joseph Perolio
• Melissa Ann Poppy
• Terrell Powers

• Psychiatric/Mental Health Nurse Practitioner in Lincoln Heights, CA
• Providers in Lincoln Heights, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.