Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Paul Prettapapop

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1861899650

Paul Prettapapop is a Nurse Practitioner in Encino, California. Qualified in 2023, 3 years ago. Practices with Mark David Levine MD Professional Corporation, a 157-clinician group. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2014
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Practice location Address checks out

16255 Ventura Blvd Ste 500
Encino, CA 91436-2310
Phone: (818) 860-0710
Fax: (213) 784-5690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95025321 (CA)

Record details

NPI number1861899650
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 24, 2014
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Mark David Levine Md Professional Corporation — 157 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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