Active NPI
Julia Schiffman
- Counselor
- San Diego, CA
National Provider Identifier
1124572029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4660 Viewridge Ave
San Diego, CA 92123-1638 - Phone
- (858) 565-2510
- NPI assigned
- Aug 8, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Clinical Social Worker | 1041C0700X | 77096 | CA |
Addresses
Primary practice location
4660 Viewridge Ave
San Diego, CA 92123-1638
Mailing address
PO Box 33154
San Diego, CA 92163-3154
Phone (818) 632-7981
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 11, 2024 through Jun 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77096 | CA | MD | Clinical Social Worker |
| 107971 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1124572029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33154",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921633154",
"telephone_number": "818-632-7981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4660 VIEWRIDGE AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231638",
"telephone_number": "858-565-2510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIFFMAN",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-08",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "77096",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.