MATTHEW GLEN LEZAMA PMHNP-BC - NPI 1093063745 - Nurse Practitioner in Pasadena, CA

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

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About Matthew Glen Lezama Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW GLEN LEZAMA PMHNP-BC (NPI 1093063745) is an individual psychiatric/mental health provider in Pasadena, California, licensed in California (95010135) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1093063745

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMATTHEW GLEN LEZAMACredential: PMHNP-BC

Location Address150 S LOS ROBLES AVE STE 850Pasadena, CA 91101-4630

Mailing Address305 N Cedar St Apt 204Glendale, CA 91206-5704 · (925) 785-9123

Phone(888) 588-8995

Sole ProprietorNo

Enumeration DateAugust 28, 2012

Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration

NPPES CertifiedDecember 11, 2021

✔ NPI 1093063745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95010135

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

150 S LOS ROBLES AVE STE 850, Pasadena, CA 91101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARLOTTE TAY

Nurse Practitioner (Psychiatric/Mental Health)