Active NPI
Julia Ann Lopez
- Marriage & Family Therapist
- Gilroy, CA
National Provider Identifier
1730633843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 94444
- Practice address
- 290 Ioof Ave
Gilroy, CA 95020 - Phone
- (408) 846-2100
- Fax
- (408) 842-8815
- NPI assigned
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 94444 | CA | Primary |
Addresses
Primary practice location
290 Ioof Ave
Gilroy, CA 95020
Mailing address
290 Ioof Ave
Gilroy, CA 95020-5204
Phone (408) 846-2100
Other practice location 1
1850 San Benito St
Hollister, CA 95023-4899
Phone (831) 636-2121
Other practice location 2
1850 San Benito St
Hollister, CA 95023-4899
Phone (831) 636-2121
Other names 1
- Julie Ann Gozzo
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
| License | State | Type | Specialty |
|---|---|---|---|
| 94444 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chamberlain's Youth Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Hollister, CA
- NPI 1083010409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1730633843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 IOOF AVE",
"city": "GILROY",
"state": "CA",
"postal_code": "950205204",
"telephone_number": "408-846-2100",
"fax_number": "408-842-8815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 IOOF AVE",
"city": "GILROY",
"state": "CA",
"postal_code": "95020",
"telephone_number": "408-846-2100",
"fax_number": "408-842-8815"
}
],
"practiceLocations": [
{
"address_1": "1850 San Benito St",
"address_purpose": "LOCATION",
"city": "Hollister",
"state": "CA",
"postal_code": "950234899",
"country_code": "US",
"telephone_number": "831-636-2121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1850 San Benito St",
"address_purpose": "LOCATION",
"city": "Hollister",
"state": "CA",
"postal_code": "950234899",
"country_code": "US",
"telephone_number": "831-636-2121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "JULIA",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "94444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "GOZZO",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.