Individual provider Active NPI

Julian David Medina, MD

  • Anesthesiology Physician
  • San Francisco, CA
National Provider Identifier
1407016330
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A106351 Issued in CA
Practice address
450 Stanyan St
San Francisco, CA 94117-1019
Phone
(415) 750-5771
NPI assigned
Jun 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A106351 CA Primary

Addresses

Primary practice location

450 Stanyan St
San Francisco, CA 94117-1019

Mailing address

338 Funston Ave
San Francisco, CA 94118-2116
Phone (415) 750-5771

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
I20090615000676 CA Practitioner - Anesthesiology 8729138698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of California, San Diego School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists of the Central CoastGroup PAC ID 5597665018, 35 clinicians

Practice addresses (Care Compare)

1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone (805) 928-1731

1100 Las Tablas Rd
Templeton, CA 93465-9704
Phone (833) 349-8309

1911 Johnson Ave
San Luis Obispo, CA 93401-4131
Phone (805) 928-1731

345 S Halcyon Rd
Arroyo Grande, CA 93420-3817
Phone (805) 489-4261

Hospital & facility affiliations

  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia & Analgesia Medical Group, Inc. Anesthesiology CurrentSince Mar 1, 2020 Accepting new patients
Associated Anesthesiologists of the Central Coast Anesthesiology CurrentSince Aug 1, 2019 Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients

Locations

345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

24757 Dept La Lockbox
Pasadena, CA 91185

921 Oak Park Blvd
Ste 101
Pismo Beach, CA 93449
Phone (805) 471-3353

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

1304 Ella St
Ste C
Sn Luis Obisp, CA 93401
Phone (805) 544-7214

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1101 Las Tablas Rd
Ste K
Templeton, CA 93465
Phone (805) 434-2009

322 Posada Ln
Ste B
Templeton, CA 93465
Phone (805) 591-3344

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Organizations & group practices 3

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 4

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": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1407016330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 FUNSTON AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182116",
            "telephone_number": "415-750-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STANYAN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171019",
            "telephone_number": "415-750-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "JULIAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A106351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.