Individual provider Active NPI

Julianna D. Rhode, P.A.

  • Physician Assistant
  • Irvine, CA
National Provider Identifier
1720217433
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 20309 Issued in CA
Practice address
3355 Michelson Dr Ste 490
Irvine, CA 92612-0685
Phone
(949) 526-8375
Fax
(949) 526-8385
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 20309 CA Primary

Addresses

Primary practice location

3355 Michelson Dr Ste 490
Irvine, CA 92612-0685

Mailing address

3355 Michelson Dr Ste 490
Irvine, CA 92612-0685
Phone (949) 526-8375

Other practice location 1

25455 Barton Rd Ste 204B
Loma Linda, CA 92354-3130
Phone (909) 558-6600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address juliannarhode@sjhhandhmg.allscriptsdirect.net

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20309CAMDClinical Social Worker
PA 20309CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Jude Hospital Yorba Linda, Inc. PastSince Jan 12, 2020 Accepting new patients
St. Jude Hospital Yorba Linda PastSince Jan 12, 2020 Accepting new patients

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1720217433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 MICHELSON DR STE 490",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120685",
            "telephone_number": "949-526-8375",
            "fax_number": "949-526-8385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MICHELSON DR STE 490",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120685",
            "telephone_number": "949-526-8375",
            "fax_number": "949-526-8385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25455 Barton Rd Ste 204B",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543130",
            "country_code": "US",
            "telephone_number": "909-558-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHODE",
        "first_name": "JULIANNA",
        "middle_name": "D.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 20309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliannarhode@sjhhandhmg.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "3355 Michelson Dr Ste 490",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926120685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.