Active NPI
Huma Pekcan
- Marriage & Family Therapist
- Lake View Terrace, CA
National Provider Identifier
1972996577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 86843
- Practice address
- 11600 Eldridge Ave
Lake View Terrace, CA 91342-6506 - Phone
- (310) 945-7940
- NPI assigned
- Mar 6, 2015
- 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 | 86843 | CA | Primary |
Addresses
Primary practice location
11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Mailing address
11600 Eldridge Ave
Lake View Terrace, CA 91342-6506
Phone (818) 686-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240708002886 | IL | Practitioner - Marriage and Family Therapist | 4880139492 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435104000000",
"number": "1972996577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11600 ELDRIDGE AVE",
"city": "LAKE VIEW TERRACE",
"state": "CA",
"postal_code": "913426506",
"telephone_number": "818-686-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11600 ELDRIDGE AVE",
"city": "LAKE VIEW TERRACE",
"state": "CA",
"postal_code": "913426506",
"telephone_number": "310-945-7940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEKCAN",
"first_name": "HUMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-06",
"last_updated": "2015-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "86843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake View Terrace, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.