Individual provider Active NPI

Julie Copon, D.O.

  • Internal Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1578568564
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A6054 Issued in CA
Practice address
17822 Beach Blvd.
225
Huntington Beach, CA 92647-7190
Phone
(714) 848-5240
Fax
(714) 848-5260
NPI assigned
Jun 16, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A6054 CA Primary

Addresses

Primary practice location

17822 Beach Blvd.
225
Huntington Beach, CA 92647-7190

Mailing address

17822 Beach Blvd.
225
Huntington Beach, CA 92647-7190
Phone (714) 848-5240

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
I20041014000795 CA Practitioner - Internal Medicine 0941260806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
College of Osteo Med of the Pacific at Pomona, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17822 Beach Blvd
Suite 225
Huntington Beach, CA 92647-7517
Phone (714) 848-5240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A6054CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Huntington Medical Group Internal Medicine PastSince Nov 9, 2025 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: julie.copon.p59@direct.nautilus.nextgenshare.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578568564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD.",
            "address_2": "225",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477190",
            "telephone_number": "714-848-5240",
            "fax_number": "714-848-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD.",
            "address_2": "225",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477190",
            "telephone_number": "714-848-5240",
            "fax_number": "714-848-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPON",
        "first_name": "JULIE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.