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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: October 18, 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
Phone(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
Open in Google Maps ↗

Other Names 1

Other Name (5)John Pae Pmhnp

Secondary Practice Locations 6

Location 16851 Lennox Ave Ste 405Van Nuys, CA 91405-4075 · Phone (866) 557-7924 · Fax (833) 328-1414
Location 22029 Keith StLos Angeles, CA 90031-3128 · Phone (818) 985-8323
Location 39420 Noble Ave Unit 108North Hills, CA 91343-7824 · Phone (818) 455-7653
Location 415445 Ventura Blvd Ste 5Sherman Oaks, CA 91403-3028 · Phone (818) 342-5050
Location 54445 Burns AveLos Angeles, CA 90029-2702 · Phone (323) 222-1440
Location 611027 Burbank BlvdNorth Hollywood, CA 91601-2431 · Phone (818) 985-8323

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show John Pae reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Mind Health Inc.
17 mi
Psychiatry
15445 VENTURA BLVD. SUITE 5, BOX # 257
Sherman Oaks, CA 91403
  • Reassigned Medicare billing, California enrollment
  • 26 clinicians in this Medicare group
NPI 1619693256 (818) 342-5050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ALBERTO GALVEZ
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Los Angeles County (213) 721-0010
LISETTE GONZALEZ AVAKIAN
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LOS ANGELES, CA 90031
Los Angeles County (818) 985-8323
PETER ALVISO III
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LOS ANGELES, CA 90031
Los Angeles County (213) 721-0010
MICHAEL JAMES AVILES
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Los Angeles County (213) 721-0010
JAKE DAVIS
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Los Angeles County (213) 721-0010
OLIVIA MIDBY
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Los Angeles County (213) 721-0100
ROBERT SANCHEZ
Counselor (Addiction (Substance Use Disorder))
3619 N MISSION RD
LOS ANGELES, CA 90031
Los Angeles County (213) 721-0010
REBEKAH ANDREA GUZMAN LVN
Licensed Vocational Nurse
3619 N MISSION RD
LINCOLN HEIGHTS, CA 90031
Los Angeles County (213) 721-0010

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.

Which organization bills Medicare for John Pae's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Pae reassigns Medicare benefits to Thrive Mind Health Inc. (Sherman Oaks, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Pae's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 12 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.