Active NPI
Julia Rogers Nordgren, MD
- Pediatrics Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- C137012
- Practice address
- 725 Welch Rd
Palo Alto, CA 94304-1601 - Phone
- (650) 497-8000
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C137012 | CA | Primary |
Addresses
Primary practice location
725 Welch Rd
Palo Alto, CA 94304-1601
Mailing address
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (650) 497-8000
Other practice location 1
795 El Camino Real
Palo Alto, CA 94301-2302
Phone (650) 853-2992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30203087 | Medicaid | NH |
Other names 1
- Dr. Julia R Bossung
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137012 | CA | MD | Marriage & Family Therapist |
| C137012 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LPCH Medical Group Div of Lucile | Pediatrics | Current | Accepting new patients |
| Stanford Health Care | Current | Accepting new patients | |
| Stanford Health Care | Pediatrics | Current | Accepting new patients |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| The New London Hospital Association, Inc. | Pediatrics | Past | Accepting new patients |
Locations
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979
300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710
1195 W Fremont Ave
Sunnyvale, CA 94087
Phone (408) 426-5590
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.
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
-
- Critical Access Hospital
- New London, NH
- NPI 1831200583
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1346386893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 WELCH RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041601",
"telephone_number": "650-497-8000"
}
],
"practiceLocations": [
{
"address_1": "795 El Camino Real",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943012302",
"country_code": "US",
"telephone_number": "650-853-2992",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORDGREN",
"first_name": "JULIA",
"middle_name": "ROGERS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C137012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30203087",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "BOSSUNG",
"middle_name": "R",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.