Individual provider Active NPI

Julie A Perry, PAC

  • Physician Assistant
  • Carlsbad, CA
National Provider Identifier
1225098171
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4184 Issued in AZ
Practice address
6125 Paseo del Norte Ste 110
Carlsbad, CA 92011-1113
Phone
(760) 795-8900
Fax
(760) 795-8901
NPI assigned
Mar 24, 2006
Last updated
Nov 17, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 4184 AZ Primary

Addresses

Primary practice location

6125 Paseo del Norte Ste 110
Carlsbad, CA 92011-1113

Mailing address

6125 Paseo del Norte Ste 110
Carlsbad, CA 92011-1113
Phone (760) 795-8900

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170601001110 CA Practitioner - Physician Assistant 7618987413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4445 Eastgate Mall
San Diego, CA 92121-1979

4910 Directors PL
Suite 350
San Diego, CA 92121-3834
Phone (858) 571-9500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54119CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Orthopedic Specialists, Inc. CurrentSince Mar 4, 2024 Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Mar 4, 2024 Accepting new patients
Scripps Health CurrentSince Oct 1, 2018 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Oct 1, 2018 Accepting new patients
Scripps Health Current Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Stanley S Moles & Associates MD's PA Past Accepting new patients
Sun Coast Hospital Inc Past Accepting new patients
Scripps Health Past Accepting new patients
Largo Physician Group, LLC PastSince Nov 4, 2012 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

4910 Directors Pl
Ste 350
San Diego, CA 92121
Phone (858) 346-7171

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jperry81449@scrippshlth.medalliesdirect.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1225098171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6125 PASEO DEL NORTE STE 110",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111113",
            "telephone_number": "760-795-8900",
            "fax_number": "760-795-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6125 PASEO DEL NORTE STE 110",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920111113",
            "telephone_number": "760-795-8900",
            "fax_number": "760-795-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

Verify at the official NPI Registry.