Individual provider Active NPI

Julia D Robinson, PA-C

  • Physician Assistant
  • Pacoima, CA
National Provider Identifier
1063811404
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
51829 Issued in CA
Practice address
12752 Montford St
Pacoima, CA 91331-1116
Phone
(661) 312-2051
NPI assigned
Aug 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 51829 CA Primary

Addresses

Primary practice location

12752 Montford St
Pacoima, CA 91331-1116

Mailing address

12752 Montford St
Pacoima, CA 91331-1116
Phone (661) 312-2051

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
I20150319002432 CA Practitioner - Physician Assistant 6608193255 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
51829CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Center CurrentSince Jan 8, 2024 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jan 8, 2024 Accepting new patients
Childrens Hospital of Los Angeles Past Accepting new patients

Locations

8723 Alden Dr
Ste 240
Los Angeles, CA 90048
Phone (310) 423-2331

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Organizations & group practices 3

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": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1063811404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12752 MONTFORD ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311116",
            "telephone_number": "661-312-2051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12752 MONTFORD ST",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311116",
            "telephone_number": "661-312-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JULIA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-21",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacoima, CA

Sources for this page

Verify at the official NPI Registry.