Active NPI
Julian P Alexander III, M.D.
- Ophthalmology Physician
- Red Bluff, CA
National Provider Identifier
1104972736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G41692
- Practice address
- 1056 Washington St
Red Bluff, CA 96080-2747 - Phone
- (530) 529-1750
- Fax
- (530) 529-4551
- NPI assigned
- Jan 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G41692 | CA | Primary |
Addresses
Primary practice location
1056 Washington St
Red Bluff, CA 96080-2747
Mailing address
1056 Washington St
Red Bluff, CA 96080-2747
Phone (530) 529-1750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0045250 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G41692 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julian P Alexander MD Inc | Ophthalmology | Past | Accepting new patients |
| Ridge Eye Care Inc | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
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": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275436800000",
"number": "1104972736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1056 WASHINGTON ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960802747",
"telephone_number": "530-529-1750",
"fax_number": "530-529-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1056 WASHINGTON ST",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960802747",
"telephone_number": "530-529-1750",
"fax_number": "530-529-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANDER",
"first_name": "JULIAN",
"middle_name": "P",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2010-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G41692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0045250",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Red Bluff, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.