Individual provider Active NPI

Julia Sangiovanni, PA-C

  • Medical Physician Assistant
  • Chicago, IL
National Provider Identifier
1184288722
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085.008508 Issued in IL
Practice address
2400 N Ashland Ave
Chicago, IL 60614-0851
Phone
(773) 278-7024
Fax
(773) 278-6948
NPI assigned
Apr 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA9113327 FL
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X 085.008508 IL Primary

Addresses

Primary practice location

2400 N Ashland Ave
Chicago, IL 60614-0851

Mailing address

2400 N Ashland Ave
Chicago, IL 60614-0851
Phone (773) 278-7024

Other practice location 1

7229 US Highway 301 S
Riverview, FL 33578-4346
Phone (813) 677-8418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201029000251 FL Practitioner - Physician Assistant 3375953581 Reassigns benefits to 1 organization
I20220718001797 IL Practitioner - Physician Assistant 3375953581 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9113327FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Clinic, LLC CurrentSince Nov 2, 2020 Accepting new patients
Florida Medical Clinic LLC Multi-Specialty CurrentSince Nov 2, 2020 Accepting new patients

Locations

7229 US Highway 301 S
Riverview, FL 33578
Phone (813) 677-8418

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

Interoperability endpoints

  • Direct secure messaging: julia.sangiovanni.1@13676.direct.athenahealth.com

Organizations & group practices 3

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": "1556496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1184288722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140851",
            "telephone_number": "773-278-7024",
            "fax_number": "773-278-6948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606140851",
            "telephone_number": "773-278-7024",
            "fax_number": "773-278-6948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7229 US Highway 301 S",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335784346",
            "country_code": "US",
            "telephone_number": "813-677-8418",
            "fax_number": "813-355-5906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGIOVANNI",
        "first_name": "JULIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-29",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9113327",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.008508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.