Juli Joseph

Individual provider Active NPI Family Nurse Practitioner · Manteca, CA

NPI 1245014273 · NPPES record last updated Aug 21, 2023

Key facts

NPI
1245014273
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
95025109 (CA)
Practice address
729 Grafton St
Manteca, CA 95337-8570
Phone
(209) 817-6007
NPI assigned
Aug 21, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altea Medical California PC (84 clinicians)

Practice addresses (Care Compare)

159 E Orangeburg Ave
Modesto, CA 95350-5334
Phone (707) 445-3261

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240719001209 CA Practitioner - Nurse Practitioner 7416493051 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95025109CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical California PC Current
since Jun 6, 2024
Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 723-2442

159 E Orangeburg Ave
Modesto, CA 95350
Phone (209) 526-2811

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

700 E Highland Ave
Redlands, CA 92374
Phone (909) 792-5083

3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790

9107 Davis Rd
Stockton, CA 95209
Phone (209) 478-6488

2005 River St
Susanville, CA 96130
Phone (530) 257-5341

13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033

2200 Tuolumne St
Vallejo, CA 94589
Phone (707) 644-7401

535 Auto Center Dr
Watsonville, CA 95076
Phone (831) 724-0875

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95025109 CA Yes

Addresses

Primary practice location

729 Grafton St
Manteca, CA 95337-8570

Mailing address

729 Grafton St
Manteca, CA 95337-8570
Phone (209) 817-6007

Other providers in Manteca, CA

All providers in Manteca, CA · Family Nurse Practitioner in California

Sources for this page

Verify at the official NPI Registry.