Julia A Gustafson, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP5485 Issued in CA

Practice address

12811 Covey Cir
Sonora, CA 95370-5935

Phone

(209) 588-8840

Fax

(209) 588-0911

NPI assigned

Dec 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sonora Community Hospital

  • Family Medicine Physician
  • Sonora, CA
  • NPI 1033100854
  Medicare reassignment NPD
• Tuolumne Mewuk Indian Health Center, Inc

  • Family Medicine Physician
  • Tuolumne, CA
  • NPI 1619952397
  Medicare reassignment NPD
• Sonora Community Hospital

  • Rural Health Clinic/Center
  • Sonora, CA
  • NPI 1003014952
  NPD
• Tuolumne Me-Wuk Indian Health Center, Inc.

  • Family Medicine Physician
  • Sonora, CA
  • NPI 1124286885
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1174509103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13989 STANTON CIR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708641",
            "telephone_number": "209-588-5584",
            "fax_number": "209-588-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 COVEY CIR",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705935",
            "telephone_number": "209-588-8840",
            "fax_number": "209-588-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "JULIA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP5485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenley Oaks Ear, Nose & Throat, Apc
• Greenley Oaks Hearing Resource Center, Inc.
• Steven J Gregg
• Margaret Therese Grolle, PT
• Abhijit Prakash Gune, DDS
• H Charles McKelvey DDS Inc
• Charles Fredrick Habekost, D,D.S.
• Kathryn Elizabeth Hack, MFT
• Erika Ann Hagstrom Dossi, RDA
• Andrew K. Hall, D.C.

• Nurse Practitioner in Sonora, CA
• Providers in Sonora, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.