Individual provider Active NPI

Julia C Linesch, PNP

  • Pediatric Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1063016053
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95015351 Issued in CA
Practice address
3571 Beethoven St Apt 2
Los Angeles, CA 90066-3050
Phone
(323) 791-9450
NPI assigned
Nov 30, 2020
Last updated
Nov 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 95015351 CA Primary

Addresses

Primary practice location

3571 Beethoven St Apt 2
Los Angeles, CA 90066-3050

Mailing address

3571 Beethoven St Apt 2
Los Angeles, CA 90066-3050
Phone (323) 791-9450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210327000103 CA Practitioner - Nurse Practitioner 1951718576 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95015351CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Valley Health Corporation CurrentSince Feb 16, 2021 Accepting new patients
Saba Haq Above Medical PC CurrentSince Oct 1, 2025 Accepting new patients
Northeast Valley Health Corporation CurrentSince Feb 16, 2021 Accepting new patients
Northeast Valley Health Corporation Current Accepting new patients

Locations

7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656

12756 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 896-0531

1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388

1600 San Fernando Rd
San Fernando, CA 91340
Phone (818) 365-8086

207 S Santa Anita St
Ste 335
San Gabriel, CA 91776
Phone (626) 576-1214

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: julia.linesch.p1@direct.nevhc.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1063016053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 BEETHOVEN ST APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663050",
            "telephone_number": "323-791-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 BEETHOVEN ST APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663050",
            "telephone_number": "323-791-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINESCH",
        "first_name": "JULIA",
        "middle_name": "C",
        "credential": "PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95015351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.