Active NPI
Julianne Michelle Zimlich, P.A.-C
- Physician Assistant
- Half Moon Bay, CA
National Provider Identifier
1013269240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA22370
- Practice address
- 575 Kelly St
Half Moon Bay, CA 94019-1719 - Phone
- (650) 560-0216
- Fax
- (650) 295-0397
- NPI assigned
- Oct 11, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22370 | CA | Primary |
| Physician Assistant | 363A00000X | PA60299280 | WA |
Addresses
Primary practice location
575 Kelly St
Half Moon Bay, CA 94019-1719
Mailing address
575 Kelly St
Half Moon Bay, CA 94019-1719
Phone (650) 560-0216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60299280 | WA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371600000000",
"number": "1013269240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 KELLY ST",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940191719",
"telephone_number": "650-560-0216",
"fax_number": "650-295-0397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 KELLY ST",
"city": "HALF MOON BAY",
"state": "CA",
"postal_code": "940191719",
"telephone_number": "650-560-0216",
"fax_number": "650-295-0397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIMLICH",
"first_name": "JULIANNE",
"middle_name": "MICHELLE",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-11",
"last_updated": "2013-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22370",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60299280",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Half Moon Bay, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.