Organization Active NPI

Julie Copon, DO Inc

  • Internal Medicine Physician
  • Huntington Beach, CA
National Provider Identifier
1649231531
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A6054 Issued in CA
Legal business name
JULIE COPON, DO INC
Practice address
17822 Beach Blvd.
225
Huntington Beach, CA 92647-7190
Phone
(714) 848-5240
Fax
(714) 848-5260
NPI assigned
Mar 30, 2006
Last updated
Nov 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Authorized official

Name
Dr. Julie Copon, DONPI 1578568564
Title
Provider
Phone
(714) 848-5240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220001026 CA Part B Supplier - Clinic/Group Practice 2668430885 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Beach, CA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352160000000",
    "number": "1649231531",
    "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": {
        "organization_name": "JULIE COPON, DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-30",
        "last_updated": "2012-11-06",
        "status": "A",
        "authorized_official_last_name": "COPON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "714-848-5240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "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

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.