Individual provider Active NPI

Julie Elizabeth Dierksheide, MD

  • Surgical Critical Care Physician
  • San Diego, CA
National Provider Identifier
1346465168
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
A128857 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
Fax
(888) 539-8781
NPI assigned
Apr 16, 2007
Last updated
Sep 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301088308 MI
Surgical Critical Care Physician 2086S0102X A128857 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410
Phone (800) 926-8273

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805006359 CA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 7517271513 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: General Surgery
Education
Wright State University Boonshoft School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2001

420 34TH St
Bakersfield, CA 93301-2237
Phone (661) 327-4647

465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 784-1110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301088308MIMDSurgery Physician
A128857CAMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority CurrentSince Jan 7, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm Surgery Current Accepting new patients
Regents of the University of California - Ucsd Medical Group CurrentSince Aug 18, 2020 Accepting new patients
Regents of the University of California Current Accepting new patients
Central Valley Critical Care Medicine - a Professional Corporat CurrentSince Sep 1, 2021 Accepting new patients
Kern County Hospital Authority CurrentSince Jan 7, 2021 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the University of California CurrentSince Jan 10, 2021 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Mar 1, 2024 Accepting new patients
Regents of the University of California CurrentSince Aug 15, 2015 Accepting new patients
Faculty Physicians and Surgeons of Llusm Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Oct 1, 2018 Accepting new patients
Oc Trauma Inc Trauma Surgery CurrentSince Dec 1, 2022 Accepting new patients
Regents of the University of California Surgery CurrentSince Aug 15, 2015 Accepting new patients
Willow Brook Critical Care Medical Group, Inc CurrentSince Dec 1, 2020 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Loma Linda University Medical Center Past Accepting new patients
Loma Linda University Children's Hospital Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Regents of the University of California Past Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations (25 of 32)

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2824

25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

2865 Atlantic Ave
Ste 104
Long Beach, CA 90806
Phone (562) 933-1820

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

27799 Medical Center Rd
Ste 440
Mission Viejo, CA 92691
Phone (949) 364-1007

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

28078 Baxter Rd
Ste 510
Murrieta, CA 92563
Phone (619) 466-5700

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

35900 Bob Hope Dr
Ste 257
Rancho Mirage, CA 92270
Phone (760) 321-2500

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

Organizations & group practices 21

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.

View all 21

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600387200000",
    "number": "1346465168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410",
            "telephone_number": "800-926-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273",
            "fax_number": "888-539-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIERKSHEIDE",
        "first_name": "JULIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301088308",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A128857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.