Active NPI
Thomas P Di Julio, M.D.
- Specialist
- Long Beach, CA
National Provider Identifier
1396712188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G30897
- Practice address
- 1703 Termino Ave
#208
Long Beach, CA 90804-2124 - Phone
- (562) 498-1182
- Fax
- (562) 985-0522
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | G30897 | CA | Primary |
Addresses
Primary practice location
1703 Termino Ave
#208
Long Beach, CA 90804-2124
Mailing address
PO Box 15160
Long Beach, CA 90815-0160
Phone (562) 425-3229
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 343789000 | Other | US DEPT OF LABOR (ASC) | |
| 00G30870 | Medicaid | CA | |
| 130001756 | Other | CA | RAILROAD MEDICARE |
| 00G308970 | Other | CA | BLUE SHIELD |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100921000344 | CA | Practitioner - Neurology | 1355466889 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas P. Di Julio, M.D., Inc | Specialist | Current | Accepting new patients |
| Long Beach Memorial Medical | Past | Accepting new patients |
Locations
1703 Termino Ave
Ste 208
Long Beach, CA 90804
Phone (562) 425-3229
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1396712188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15160",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908150160",
"telephone_number": "562-425-3229",
"fax_number": "562-421-8114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 TERMINO AVE",
"address_2": "#208",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908042124",
"telephone_number": "562-498-1182",
"fax_number": "562-985-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DI JULIO",
"first_name": "THOMAS",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G30897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT OF LABOR (ASC)",
"identifier": "343789000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G30870",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "130001756",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G308970",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.