Individual provider Active NPI

Julio E Echegaray

  • Student in an Organized Health Care Education/Training Program
  • Santa Monica, CA
National Provider Identifier
1053623710
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1527 4TH St FL 2
Santa Monica, CA 90401-2332
Phone
(310) 394-9871
Fax
(310) 395-0863
NPI assigned
Jul 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1527 4TH St FL 2
Santa Monica, CA 90401-2332

Mailing address

8870 Hargis St
Los Angeles, CA 90034-2444
Phone (424) 226-8020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 10, 2025 through Sep 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27829CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jody Echegaray, Psy.D. Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1053623710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8870 HARGIS ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900342444",
            "telephone_number": "424-226-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 4TH ST FL 2",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012332",
            "telephone_number": "310-394-9871",
            "fax_number": "310-395-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECHEGARAY",
        "first_name": "JULIO",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-10",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.