Individual provider Active NPI

Julie Ann Javier Tupaz

  • Acute Care Nurse Practitioner
  • San Pedro, CA
National Provider Identifier
1700758646
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95035985 Issued in CA
Practice address
783 Gatun St Unit 259
San Pedro, CA 90731-1360
Phone
(510) 512-8342
NPI assigned
Sep 20, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95035985 CA Primary

Addresses

Primary practice location

783 Gatun St Unit 259
San Pedro, CA 90731-1360

Mailing address

783 Gatun St Unit 259
San Pedro, CA 90731-1360
Phone (510) 512-8342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95035985CAMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1758326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758326400000",
    "number": "1700758646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 GATUN ST UNIT 259",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907311360",
            "telephone_number": "510-512-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 GATUN ST UNIT 259",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907311360",
            "telephone_number": "510-512-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUPAZ",
        "first_name": "JULIE ANN",
        "middle_name": "JAVIER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-20",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95035985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.