Active NPI
Juliet Dotimas Medenilla, BSMT
- Medical Technologist
- Los Angeles, CA
National Provider Identifier
1528250545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Technologist
- License
- MTA40261
- Practice address
- 221 Westwood Plaza
Suite 371
Los Angeles, CA 90095-0001 - Phone
- (310) 825-4982
- Fax
- (310) 206-3070
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Technologist | 246QM0706X | MTA40261 | CA | Primary |
Addresses
Primary practice location
221 Westwood Plaza
Suite 371
Los Angeles, CA 90095-0001
Mailing address
221 Westwood Plaza
Suite 371
Los Angeles, CA 90095-0001
Phone (310) 825-4982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MTA40261 | CA | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1528250545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 WESTWOOD PLAZA",
"address_2": "SUITE 371",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-825-4982",
"fax_number": "310-206-3070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 WESTWOOD PLAZA",
"address_2": "SUITE 371",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900950001",
"telephone_number": "310-825-4982",
"fax_number": "310-206-3070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDENILLA",
"first_name": "JULIET",
"middle_name": "DOTIMAS",
"credential": "BSMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "246QM0706X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology, Medical Technologist",
"state": "CA",
"license": "MTA40261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.