Individual provider Active NPI

Julie Sothary Van Restis, MPH, RN, FNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1245748672
Registry record updated Jan 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008323 Issued in CA
Practice address
3930 Louisiana St Apt 8
San Diego, CA 92104-2752
Phone
(619) 948-7761
NPI assigned
Jan 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008323 CA Primary

Addresses

Primary practice location

3930 Louisiana St Apt 8
San Diego, CA 92104-2752

Mailing address

3930 Louisiana St Apt 8
San Diego, CA 92104-2752
Phone (619) 948-7761

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
I20230106002010 CA Practitioner - Nurse Practitioner 1052781077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
63.76
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95008323CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Logan Brown, MD, a Professional Corp CurrentSince Jan 1, 2023 Accepting new patients

Locations

8881 Fletcher Pkwy
Ste 250
La Mesa, CA 91942
Phone (619) 589-6888

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.

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516320000000",
    "number": "1245748672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 LOUISIANA ST APT 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042752",
            "telephone_number": "619-948-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 LOUISIANA ST APT 8",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042752",
            "telephone_number": "619-948-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTIS",
        "first_name": "JULIE",
        "middle_name": "SOTHARY VAN",
        "credential": "MPH, RN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2018-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.