Active NPI
Juliane Marie Ahrens, PA
- Physician Assistant
- Santa Cruz, CA
National Provider Identifier
1528576188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 55172
- Practice address
- 1662 Dominican Way
Santa Cruz, CA 95065-1522 - Phone
- (831) 460-7350
- NPI assigned
- Jan 17, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 55172 | CA | Primary |
Addresses
Primary practice location
1662 Dominican Way
Santa Cruz, CA 95065-1522
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (831) 460-7350
Other practice location 1
105 Plum St
Santa Cruz, CA 95062-3411
Phone (831) 359-5411
Other names 1
- Juliane Marie McMillan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55172 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679443200000",
"number": "1528576188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "831-460-7350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1662 DOMINICAN WAY",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950651522",
"telephone_number": "831-460-7350"
}
],
"practiceLocations": [
{
"address_1": "105 Plum St",
"address_purpose": "LOCATION",
"city": "Santa Cruz",
"state": "CA",
"postal_code": "950623411",
"country_code": "US",
"telephone_number": "831-359-5411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AHRENS",
"first_name": "JULIANE",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-17",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "55172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIANE",
"last_name": "MCMILLAN",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.