Individual provider Active NPI

Julie Song Swanagan

  • Family Nurse Practitioner
  • Canoga Park, CA
National Provider Identifier
1083317952
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022223 Issued in CA
Practice address
21300 Sherman Way Ste 3
Canoga Park, CA 91303-3672
Phone
(818) 900-2478
Fax
(818) 900-2478
NPI assigned
Mar 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95022223 CA Primary

Addresses

Primary practice location

21300 Sherman Way Ste 3
Canoga Park, CA 91303-3672

Mailing address

902 Fitzgerald Ave
Ventura, CA 93003-0229
Phone (805) 479-6997

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
I20241226001819 CA Practitioner - Nurse Practitioner 9032566724 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians
Somagen Healthcare IncGroup PAC ID 1557530151, 53 clinicians
Ventura Urgent Care Center Medical CorpGroup PAC ID 2365492089, 5 clinicians

Practice addresses (Care Compare)

111 S Westlake Blvd
Suite 110
Westlake Village, CA 91362-3807
Phone (805) 557-8177

16912 San Fernando Mission Blvd
Granada Hills, CA 91344-4249
Phone (818) 488-6160

18700 Ventura Blvd
Suite 220
Tarzana, CA 91356-6317
Phone (747) 307-3323

19346 Nordhoff St
Northridge, CA 91324-2415
Phone (818) 727-2040

20201 Rinaldi St
Suite 110
Northridge, CA 91326-4938
Phone (747) 444-4901

23341 Mulholland Dr
Woodland Hills, CA 91364-2734
Phone (818) 637-0048

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

35 W Los Angeles Ave
Moorpark, CA 93021-1820
Phone (805) 529-5370

359 Carmen Dr
Camarillo, CA 93010-6033
Phone (805) 914-5592

5725 Ralston St
Suite 101
Ventura, CA 93003-6053
Phone (805) 658-2273

6440 Platt Ave
West Hills, CA 91307-3216
Phone (818) 946-1103

701 N Wendy Dr
Newbury Park, CA 91320-3066
Phone (805) 375-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95022223CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Somagen Healthcare Inc Current Accepting new patients
Western Pacific Med-Corp CurrentSince Sep 21, 2023 Accepting new patients
Somagen Healthcare Inc CurrentSince Oct 13, 2025 Accepting new patients
Exer Medical Corporation CurrentSince Nov 1, 2025 Accepting new patients
Four Wellness Clinic Inc CurrentSince Mar 26, 2023 Accepting new patients
Somagen Healthcare Inc CurrentSince Oct 13, 2025 Accepting new patients
Ventura Urgent Care Center Medical Corp CurrentSince Dec 20, 2024 Accepting new patients
Affordable Urgent Care, Inc CurrentSince Mar 26, 2023 Accepting new patients

Locations

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

21300 Sherman Way
Ste 3
Canoga Park, CA 91303
Phone (818) 835-9039

750 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 259-9462

760 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 821-2300

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

16912 San Fernando Mission Blvd
Granada Hills, CA 91344
Phone (818) 488-6160

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

1740 Rosecrans St
San Diego, CA 92106
Phone (619) 790-7800

5671 Balboa Ave
San Diego, CA 92111
Phone (855) 362-9773

8590 Rio San Diego Dr
Ste 111
San Diego, CA 92108
Phone (619) 736-4600

8260 Mira Mesa Blvd
Ste A
San Diego, CA 92126
Phone (855) 362-9773

25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020

701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400

5725 Ralston St
Ste 101
Ventura, CA 93003
Phone (805) 658-2273

Interoperability endpoints

  • Direct secure messaging: julie.swanagan.1@29357.direct.athenahealth.com

Organizations & group practices 8

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": "1679443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1083317952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 FITZGERALD AVE",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930030229",
            "telephone_number": "805-479-6997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21300 SHERMAN WAY STE 3",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913033672",
            "telephone_number": "818-900-2478",
            "fax_number": "818-900-2478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANAGAN",
        "first_name": "JULIE",
        "middle_name": "SONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-22",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canoga Park, CA

Sources for this page

Verify at the official NPI Registry.