Active NPI
Julie A, Hodge, M.D.
- MOHS-Micrographic Surgery Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- A48399
- Practice address
- 1440 N Harbor Blvd Ste 300
Fullerton, CA 92835-4116 - Phone
- (714) 526-7546
- Fax
- (714) 526-7547
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | A48399 | CA | Primary |
Addresses
Primary practice location
1440 N Harbor Blvd Ste 300
Fullerton, CA 92835-4116
Mailing address
1440 N Harbor Blvd Ste 300
Fullerton, CA 92835-4116
Phone (714) 526-7546
Other practice location 1
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Tulane University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
200 Elm St N
Onamia, MN 56359-7901
Hospital & facility affiliations
- Uci Health-Orange
- Mille Lacs Health System
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48399 | CA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J Robert West, M.D., Inc | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Mille Lacs Health System | Current | Accepting new patients | |
| Mille Lacs Health System | Current | Accepting new patients | |
| Uci Department of Dermatology | Current | Accepting new patients |
Locations
1440 N Harbor Blvd
Ste 300
Fullerton, CA 92835
Phone (714) 526-7546
30201 Golden Lantern
Ste B
Laguna Niguel, CA 92677
Phone (949) 363-1788
400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
200 S Manchester Ave
Ste 650
Orange, CA 92868
Phone (714) 456-3077
101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005
200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750
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 and National Provider Directory roles.
-
- Dermatology Physician
- Orange, CA
- NPI 1518916527
-
- Critical Access Hospital
- Onamia, MN
- NPI 1548212699
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1932154788
Mohs-Micrographic Surgery
-
- Community/Retail Pharmacy
- Onamia, MN
- NPI 1841947801
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- Critical Access Hospital
- Onamia, MN
- NPI 1548212699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1629150396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 N HARBOR BLVD STE 300",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354116",
"telephone_number": "714-526-7546",
"fax_number": "714-526-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 N HARBOR BLVD STE 300",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354116",
"telephone_number": "714-526-7546",
"fax_number": "714-526-7547"
}
],
"practiceLocations": [
{
"address_1": "101 The City Dr S",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683201",
"country_code": "US",
"telephone_number": "714-456-8888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HODGE",
"first_name": "JULIE",
"middle_name": "A,",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "A48399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.