Active NPI
Julie Ann Depper, PA-C
- Physician Assistant
- Fremont, CA
National Provider Identifier
1174953640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA23150
- Practice address
- 39350 Civic Center Dr Ste 300
Fremont, CA 94538-2331 - Phone
- (510) 797-3933
- Fax
- (510) 797-5184
- NPI assigned
- Nov 20, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA23150 | CA | Primary |
Addresses
Primary practice location
39350 Civic Center Dr Ste 300
Fremont, CA 94538-2331
Mailing address
39350 Civic Center Dr Ste 300
Fremont, CA 94538-2331
Phone (510) 797-3933
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA23150 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| LPCH Medical Group Div of Lucile | Past | Accepting new patients | |
| Stanford Health Care | Past | Accepting new patients | |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431648000000",
"number": "1174953640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39350 CIVIC CENTER DR STE 300",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382331",
"telephone_number": "510-797-3933",
"fax_number": "510-797-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39350 CIVIC CENTER DR STE 300",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382331",
"telephone_number": "510-797-3933",
"fax_number": "510-797-5184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPPER",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-20",
"last_updated": "2015-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA23150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.