Active NPI
Julie Akiko Gladsjo, MD
- Dermatology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A98641
- Practice address
- 6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715 - Phone
- (858) 859-1188
- NPI assigned
- Aug 1, 2008
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A98641 | CA | Primary |
Addresses
Primary practice location
6195 Lusk Blvd Ste 250
San Diego, CA 92121-3715
Mailing address
1318 Calle Scott
Encinitas, CA 92024-5531
Phone (858) 344-4349
Other practice location 1
760 E Solana Cir
Solana Beach, CA 92075-2356
Phone (858) 344-4349
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of California, San Diego School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15525 Pomerado Rd
Suite A2
Poway, CA 92064-2425
Phone (858) 451-3311
400 Newport Ctr Dr
Suite 702
Newport Beach, CA 92660-7669
Phone (949) 644-0101
477 N El Camino Real
Suite D308
Encinitas, CA 92024-1370
Phone (760) 436-2300
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.17 of 100
- Quality
- 74.51
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 82.72
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 48 |
| Removal of skin lesions | 342 |
| Removal of skin cancer | 344 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 106 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A98641 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leur Medicine Inc | Dermatology | Current | Accepting new patients |
| Bernardo Dermatology Medical Group Inc | Dermatology | Current | Accepting new patients |
| J Robert West, M.D., Inc | Dermatology | Current | Accepting new patients |
| Csi Medical Group | Dermatology | Past | Accepting new patients |
| Stacy D. Tompkins, M.D., Inc. | Dermatology | Past | Accepting new patients |
| Yuma Regional Medical Center | Past | Accepting new patients |
Locations
1030 W 24th St
Ste C-2
Yuma, AZ 85364
Phone (928) 247-6825
6010 Hidden Valley Rd
Ste 120
Carlsbad, CA 92011
Phone (760) 448-4484
12865 Pointe del Mar Way
Ste 160
Del Mar, CA 92014
Phone (858) 350-7546
477 N El Camino Real
Ste D308
Encinitas, CA 92024
Phone (760) 436-2300
7301 Girard Ave
Ste 300
La Jolla, CA 92037
Phone (858) 454-4300
400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101
359 San Miguel Dr
Ste 300
Newport Beach, CA 92660
Phone (949) 200-8222
15525 Pomerado Rd
Ste A2
Poway, CA 92064
Phone (858) 451-3311
4060 4th Ave
Ste 415
San Diego, CA 92103
Phone (619) 298-9809
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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
- Poway, CA
- NPI 1407950785
-
dba Southern California Dermatology
- Dermatology Physician
- Newport Beach, CA
- NPI 1932154788
-
- Dermatology Physician
- Newport Beach, CA
- NPI 1316340268
-
dba North Coast Dermatology Medical Associates
- Dermatology Physician
- Encinitas, CA
- NPI 1730266743
-
dba Onvida Health Yuma Medical Center
- General Acute Care Hospital
- Yuma, AZ
- NPI 1194706655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1629234380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 CALLE SCOTT",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245531",
"telephone_number": "858-344-4349",
"fax_number": "619-437-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6195 LUSK BLVD STE 250",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213715",
"telephone_number": "858-859-1188"
}
],
"practiceLocations": [
{
"address_1": "760 E Solana Cir",
"address_purpose": "LOCATION",
"city": "Solana Beach",
"state": "CA",
"postal_code": "920752356",
"country_code": "US",
"telephone_number": "858-344-4349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GLADSJO",
"first_name": "JULIE",
"middle_name": "AKIKO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-01",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A98641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.