Individual provider Active NPI

Julia K Bail, RNP

  • Gerontology Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1164592408
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
14399 Issued in CA
Practice address
200 Med PLZ
Suite 420
Los Angeles, CA 90095-0001
Phone
(310) 206-6232
Fax
(805) 241-1163
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 561772 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 14399 CA
Gerontology Nurse Practitioner 363LG0600X 14399 CA Primary

Addresses

Primary practice location

200 Med PLZ
Suite 420
Los Angeles, CA 90095-0001

Mailing address

27330 Banuelo Ave
Santa Clarita, CA 91350-2118
Phone (661) 263-6817

Other practice location 1

99 Almaden Blvd Ste 600
San Jose, CA 95113-1605
Phone (888) 964-6681

Other identifiers 1

IdentifierTypeStateIssuer
RN561772MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070223000681 CA Practitioner - Nurse Practitioner 2769584606 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14399CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
David Taftian DO, Inc CurrentSince May 9, 2025 Accepting new patients

Locations

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

2123 Verdugo Blvd
Montrose, CA 91020
Phone (818) 249-3925

18040 Sherman Way
Ste 304
Reseda, CA 91335

7120 Corbin Ave
Reseda, CA 91335
Phone (818) 881-4530

250 Fairview Rd
Thousand Oaks, CA 91361
Phone (707) 964-6333

Interoperability endpoints

  • Direct secure messaging: julia.bail.1@30710.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/19088/brand/1/csg/1/fhir/r4
  • Direct secure messaging: julia.bail.1@29786.direct.athenahealth.com

Organizations & group practices 1

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1164592408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27330 BANUELO AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502118",
            "telephone_number": "661-263-6817",
            "fax_number": "805-241-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MED PLZ",
            "address_2": "SUITE 420",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900950001",
            "telephone_number": "310-206-6232",
            "fax_number": "805-241-1163"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Almaden Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951131605",
            "country_code": "US",
            "telephone_number": "888-964-6681",
            "fax_number": "888-662-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIL",
        "first_name": "JULIA",
        "middle_name": "K",
        "credential": "RNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "561772",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "14399",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "14399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN561772",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.