NPIMap

Individual provider Active NPI

Julianna Ellen Pesce, M.D.

  • Otolaryngology Physician
  • Culver City, CA
National Provider Identifier
1326339219
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A125290 Issued in CA
Practice address
3831 Hughes Ave Ste 504
Culver City, CA 90232-6808
Phone
(310) 204-4111
NPI assigned
Apr 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X A125290 CA Primary

Addresses

Primary practice location

3831 Hughes Ave Ste 504
Culver City, CA 90232-6808

Mailing address

11905 Nebraska Ave
Los Angeles, CA 90025-3808
Phone (831) 277-7371

Other practice location 1

10833 Le Conte Ave
CHS 62-132
Los Angeles, CA 90095-3075
Phone (310) 825-7017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171027002160 CA Practitioner - Otolaryngology 2769758242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of California, Geffen School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westside Head and NeckGroup PAC ID 9830367002, 6 clinicians

Practice addresses (Care Compare)

3831 Hughes Ave
Suite 504
Culver City, CA 90232-6808
Phone (310) 204-4111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A125290CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Head & Neck Otolaryngology CurrentSince Oct 23, 2017 Accepting new patients
The Regents of the University of California Past Accepting new patients
Southern California Healthcare System, Inc Past Accepting new patients
Memorial Hospital for Cancer and Allied Diseases Past Accepting new patients
Brotman Medical Center, Inc. Past Accepting new patients
Providence Saint John's Health Center Past Accepting new patients

Locations

3831 Hughes Ave
Ste 704
Culver City, CA 90232
Phone (310) 207-3320

3831 Hughes Ave
Ste 504
Culver City, CA 90232
Phone (310) 204-3376

1301 20th St
Ste 510
Santa Monica, CA 90404
Phone (310) 828-6165

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: juliana.pesce@881.chartlogic.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1326339219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 NEBRASKA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900253808",
            "telephone_number": "831-277-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 504",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326808",
            "telephone_number": "310-204-4111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10833 Le Conte Ave",
            "address_2": "CHS 62-132",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900953075",
            "country_code": "US",
            "telephone_number": "310-825-7017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PESCE",
        "first_name": "JULIANNA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A125290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

Verify at the official NPI Registry.