Individual provider Active NPI

Julian L Delgado, MD

  • Family Medicine Physician
  • Colusa, CA
National Provider Identifier
1609826338
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G55334 Issued in CA
Practice address
2967 Davison CT.
Suite a
Colusa, CA 95932-3263
Phone
(530) 458-8050
Fax
(530) 458-5936
NPI assigned
May 11, 2006
Last updated
Aug 27, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G55334 CA Primary

Addresses

Primary practice location

2967 Davison CT.
Suite a
Colusa, CA 95932-3263

Mailing address

700 17TH St
Ste 201
Modesto, CA 95354-1249
Phone (530) 458-8050

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
I20081001000182 CA Practitioner - Family Practice 1254365380 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55334CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Specialty Physicians Group Inc CurrentSince Apr 15, 2019 Accepting new patients
Colusa Medical Center, LLC Past Accepting new patients

Locations

151 E Webster St
Ste B
Colusa, CA 95932
Phone (209) 287-6308

700 17th St
Ste 201
Modesto, CA 95354

700 17th St
Ste 205
Modesto, CA 95354
Phone (209) 248-7851

Interoperability endpoints

  • Direct secure messaging: julian.delgado.1@19854.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1609826338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 17TH ST",
            "address_2": "STE 201",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541249",
            "telephone_number": "530-458-8050",
            "fax_number": "530-458-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2967 DAVISON CT.",
            "address_2": "SUITE A",
            "city": "COLUSA",
            "state": "CA",
            "postal_code": "959323263",
            "telephone_number": "530-458-8050",
            "fax_number": "530-458-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "JULIAN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G55334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colusa, CA

Sources for this page

Verify at the official NPI Registry.