Individual provider Active NPI

Julie Erath Ola, FNP-C

  • Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1295205557
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95025994 Issued in CA
Practice address
3800 Kilroy Airport Way Ste 270
Long Beach, CA 90806-2497
Phone
(800) 964-4364
NPI assigned
Nov 29, 2018
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95025994 CA Primary
Registered Nurse 163W00000X 95180430 CA

Addresses

Primary practice location

3800 Kilroy Airport Way Ste 270
Long Beach, CA 90806-2497

Mailing address

3800 Kilroy Airport Way Ste 270
Long Beach, CA 90806-2497
Phone (800) 964-4364

Other names 1

  • Julie Fay Erath Former name

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
I20231228003300 CA Practitioner - Nurse Practitioner 5890145189 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95180430CAMDRegistered Nurse
95025994CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Housecall Doctors Medical Group Inc CurrentSince Nov 14, 2023 Accepting new patients
Residentialist Housecall Med GRP, PC a Pennsylvania Corp CurrentSince Aug 4, 2024 Accepting new patients

Locations

3800 Kilroy Airport Way
Ste 270
Long Beach, CA 90806
Phone (949) 366-1053

Interoperability endpoints

  • Direct secure messaging: julie.ola.1@33925.direct.athenahealth.com

Organizations & group practices 2

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": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1295205557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 KILROY AIRPORT WAY STE 270",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062497",
            "telephone_number": "800-964-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 KILROY AIRPORT WAY STE 270",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908062497",
            "telephone_number": "800-964-4364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLA",
        "first_name": "JULIE",
        "middle_name": "ERATH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95025994",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95180430",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ERATH",
            "middle_name": "FAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.