JOHN PAE
NPI 1932642691
Nurse Practitioner - Psychiatric/Mental Health in Lincoln Heights, CA

Active since November 29, 2016PECOS Enrolled
3619 N MISSION RD, LINCOLN HEIGHTS, CA 90031(213) 271-0100 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2025, Jun 9, 2025, May 14, 2025 (3 updates tracked since 2025).

About John Pae NPPES

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

JOHN PAE (NPI 1932642691) is an individual psychiatric/mental health provider in Lincoln Heights, California, licensed in California (95035307) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1932642691
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOHN PAE
Location Address3619 N MISSION RDLincoln Heights, CA 90031-3136
Mailing Address3619 N Mission RdLincoln Heights, CA 90031-3136 · (213) 271-0100
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 29, 2016
Last NPPES UpdateOctober 1, 20253 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
NPI 1932642691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95035307
3619 N MISSION RD, Lincoln Heights, CA 90031

Other Names 1

Other Name (5)John Pae Pmhnp

Secondary Practice Locations 6

Location 19420 Noble Ave Unit 108North Hills, CA 91343-7824 · Phone (818) 455-7653
Location 26851 Lennox Ave Ste 405Van Nuys, CA 91405-4075 · Phone (866) 557-7924 · Fax (833) 328-1414
Location 32029 Keith StLos Angeles, CA 90031-3128 · Phone (818) 985-8323
Location 411027 Burbank BlvdNorth Hollywood, CA 91601-2431 · Phone (818) 985-8323
Location 54445 Burns AveLos Angeles, CA 90029-2702 · Phone (323) 222-1440
Location 615445 Ventura Blvd Ste 5Sherman Oaks, CA 91403-3028 · Phone (818) 342-5050

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Pae is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951876820
PECOS Enrollment IDI20260408001725
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LOS ANGELES, CA 90031
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LOS ANGELES, CA 90031
Licensed Vocational Nurse
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Pae's NPI number?

The NPI number for John Pae is 1932642691. It was assigned to this individual provider in the NPPES registry on November 29, 2016. The provider is also known as John Pae Pmhnp.

Where is John Pae located?

John Pae practices at 3619 N Mission Rd, Lincoln Heights, CA 90031. The listed phone number is (213) 271-0100.

What is John Pae's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is John Pae enrolled in Medicare?

Yes. John Pae is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Pae was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.