Individual provider Active NPI

Jose Julio Murillo

  • Peer Specialist
  • Coachella, CA
National Provider Identifier
1548852890
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-YJIPWN Issued in CA
Practice address
49211 Grapefruit Blvd Ste 6
Coachella, CA 92236-1480
Phone
(442) 275-5572
NPI assigned
Feb 8, 2021
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-YJIPWN CA Primary

Addresses

Primary practice location

49211 Grapefruit Blvd Ste 6
Coachella, CA 92236-1480

Mailing address

49211 Grapefruit Blvd Ste 5
Coachella, CA 92236-1480

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmurillo@starsinc.com Direct

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

LicenseStateTypeSpecialty
MPSS-YJIPWNCAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1548852890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49211 GRAPEFRUIT BLVD STE 5",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49211 GRAPEFRUIT BLVD STE 6",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361480",
            "telephone_number": "442-275-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "JOSE",
        "middle_name": "JULIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-08",
        "last_updated": "2023-11-02",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-YJIPWN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmurillo@starsinc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "49211 Grapefruit Blvd Ste 6",
            "city": "Coachella",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922361480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.