Organization Active NPI

Julie Ann Claveria, M.D., Inc., a Professional Medical Corporation

  • Ophthalmology Physician
  • Lake Forest, CA
National Provider Identifier
1023133576
Registry record updated Aug 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G69550 Issued in CA
Legal business name
JULIE ANN CLAVERIA, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION
Practice address
23792 Rockfield Blvd Ste 240
Lake Forest, CA 92630-2830
Phone
(949) 951-8391
Fax
(949) 951-1831
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Naomi Elizabeth Renee Vilsmeyer
Title
Front Office Receptionist
Phone
(949) 951-8391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G69550 CA Primary

Addresses

Primary practice location

23792 Rockfield Blvd Ste 240
Lake Forest, CA 92630-2830

Mailing address

23792 Rockfield Blvd Ste 240
Lake Forest, CA 92630-2830
Phone (949) 951-8391

National Provider Directory

National Provider Directory

Locations

23792 Rockfield Blvd
Ste 240
Lake Forest, CA 92630
Phone (949) 458-1558

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1023133576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23792 ROCKFIELD BLVD STE 240",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302830",
            "telephone_number": "949-951-8391",
            "fax_number": "949-951-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23792 ROCKFIELD BLVD STE 240",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302830",
            "telephone_number": "949-951-8391",
            "fax_number": "949-951-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE ANN CLAVERIA, M.D., INC., A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "VILSMEYER",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "ELIZABETH RENEE",
        "authorized_official_title_or_position": "FRONT OFFICE RECEPTIONIST",
        "authorized_official_telephone_number": "949-951-8391",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G69550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.