Individual provider Active NPI

Julia S Pelton, PA-C

  • Medical Physician Assistant
  • Thousand Oaks, CA
National Provider Identifier
1700311453
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110005734 Issued in FL
Practice address
3095 Old Conejo Rd Ste 224
Thousand Oaks, CA 91320-2130
Phone
(888) 367-1850
Fax
(805) 222-0323
NPI assigned
May 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110005734 FL Primary
Medical Physician Assistant 363AM0700X 0110005734 VA

Addresses

Primary practice location

3095 Old Conejo Rd Ste 224
Thousand Oaks, CA 91320-2130

Mailing address

19562 SE Institution Dr
Blountstown, FL 32424-5156
Phone (850) 237-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201103000045 FL Practitioner - Physician Assistant 8022386366 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
0110005734FLMDMedical Physician Assistant
0110005734VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
California Rheumatology Institute Inc Rheumatology CurrentSince Dec 7, 2025 Accepting new patients

Locations

520 W Palmdale Blvd
Ste A
Palmdale, CA 93551
Phone (818) 661-0443

3095 Old Conejo Rd
Ste 224
Thousand Oaks, CA 91320

Interoperability endpoints

  • Direct secure messaging: juliaross@aos.allscriptsdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1700311453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19562 SE INSTITUTION DR",
            "city": "BLOUNTSTOWN",
            "state": "FL",
            "postal_code": "324245156",
            "telephone_number": "850-237-6500",
            "fax_number": "850-237-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 OLD CONEJO RD STE 224",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913202130",
            "telephone_number": "888-367-1850",
            "fax_number": "805-222-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "JULIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-01",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "0110005734",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110005734",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.