Active NPI
Julie Niedens, PA-C
- Physician Assistant
- El Cajon, CA
National Provider Identifier
1558698399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20451
- Practice address
- 1685 E Main St Ste 301
El Cajon, CA 92021-5292 - Phone
- (619) 881-4568
- Fax
- (619) 442-6398
- NPI assigned
- Nov 16, 2009
- 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 | PA20451 | CA | Primary |
Addresses
Primary practice location
1685 E Main St Ste 301
El Cajon, CA 92021-5292
Mailing address
2353 Farrington Dr
El Cajon, CA 92020-1077
Phone (619) 368-6586
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 |
|---|---|---|---|
| PA20451 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282867200000",
"number": "1558698399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2353 FARRINGTON DR",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920201077",
"telephone_number": "619-368-6586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1685 E MAIN ST STE 301",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920215292",
"telephone_number": "619-881-4568",
"fax_number": "619-442-6398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEDENS",
"first_name": "JULIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-16",
"last_updated": "2010-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.