Julio Pebe, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95094014 Issued in CA

Practice address

2390 Fig St
Simi Valley, CA 93063-3034

Phone

(818) 818-3910

NPI assigned

Sep 4, 2023

Sex

Male

Sole proprietor

Yes

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Elite Wound Care and Medical Services IncGroup PAC ID 2860849452, 2 clinicians

Practice addresses (Care Compare)

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.

• Elite Wound Care & Medical Services, Inc

  • Medical Specialty Clinic/Center
  • Sherman Oaks, CA
  • NPI 1275211138
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1235915448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 FIG ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633034",
            "telephone_number": "818-818-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 FIG ST",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633034",
            "telephone_number": "818-818-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEBE",
        "first_name": "JULIO",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95094014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pablo Malana Pauig II, OTR/L
• Paul Brandt, D.C.
• Yatzi A Paula, B.S, A.S
• Payam Kashfian, M.D., Inc.
• Noel Payan
• Joey Pedram, D.D.S.
• Jaimie Beth Pekow
• Penhasian Shamsian Dental Corporation
• Samantha Marie Perera
• Alejandra Perez Arellano, RDN

• Family Nurse Practitioner in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.