Individual provider Active NPI

Juliette E Tamagni, PA-C

  • Physician Assistant
  • Los Banos, CA
National Provider Identifier
1225196884
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12447 Issued in CA
Practice address
311 W I St
Los Banos, CA 93635-3479
Phone
(209) 826-2222
Fax
(209) 827-9998
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 273088 AZ
Family Nurse Practitioner 363LF0000X 5222 CA
Physician Assistant 363A00000X PA12447 CA Primary

Addresses

Primary practice location

311 W I St
Los Banos, CA 93635-3479

Mailing address

505 E Romie LN Ste K
Salinas, CA 93901-4031
Phone (831) 422-9066

Other practice location 1

505 E Romie Ln Ste K
Salinas, CA 93901-4031
Phone (831) 422-9066

Other practice location 2

311 W I St
Los Banos, CA 93635-3479
Phone (209) 826-6444

Other practice location 3

400 W I St Ste A
Los Banos, CA 93635-3459
Phone (209) 827-9999

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
I20150713000820 CA Order and Referring Only - Physician Assistant 4880906361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12447CAMDSpeech-Language Pathologist
PA12447CAMDPhysician Assistant
273088AZMDFamily Nurse Practitioner
5222CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Gould Medical Foundation Past Accepting new patients
Karthikeya Devireddy MD Inc Past Accepting new patients
Salinas Pediatric Medical Group Inc Past Accepting new patients
Apex Annex Health Center,Inc Past Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients
KD Medical Group Inc Past Accepting new patients
Dos Palos Apex Health Center Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: juliette.tamagni.1@3550.direct.athenahealth.com

Organizations & group practices 7

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": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1225196884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E ROMIE LN STE K",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014031",
            "telephone_number": "831-422-9066",
            "fax_number": "831-422-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W I ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353479",
            "telephone_number": "209-826-2222",
            "fax_number": "209-827-9998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 E Romie Ln Ste K",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939014031",
            "country_code": "US",
            "telephone_number": "831-422-9066",
            "fax_number": "831-422-4312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 W I St",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353479",
            "country_code": "US",
            "telephone_number": "209-826-6444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W I St Ste A",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "936353459",
            "country_code": "US",
            "telephone_number": "209-827-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMAGNI",
        "first_name": "JULIETTE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "273088",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "5222",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA12447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

Verify at the official NPI Registry.