Individual provider Active NPI

Julie Ann Sherman, D.O.

  • Family Medicine Physician
  • Long Beach, CA
National Provider Identifier
1437241635
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A6794 Issued in CA
Practice address
1703 Termino Ave Ste 209
Long Beach, CA 90804-2128
Phone
(562) 498-3002
Fax
(562) 498-3822
NPI assigned
Sep 28, 2006
Last updated
Sep 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A6794 CA Primary

Addresses

Primary practice location

1703 Termino Ave Ste 209
Long Beach, CA 90804-2128

Mailing address

1703 Termino Ave
Ste 209
Long Beach, CA 90804-2128
Phone (562) 498-3002

Other identifiers 1

IdentifierTypeStateIssuer
00AX67940MedicaidCA

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
I20120611000229 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Preventive Medicine 0941464697 Reassigns benefits to 1 organization
Practice locations: Long Beach, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6794CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renu Health Inc Family Medicine CurrentSince May 25, 2024 Accepting new patients
Prohealth Partners, a Medical Group, Inc. PastSince May 25, 2024 Accepting new patients

Locations

1703 Termino Ave
Ste 209
Long Beach, CA 90804
Phone (562) 498-3002

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1437241635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE",
            "address_2": "STE 209",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042128",
            "telephone_number": "562-498-3002",
            "fax_number": "562-498-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 TERMINO AVE STE 209",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042128",
            "telephone_number": "562-498-3002",
            "fax_number": "562-498-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX67940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.