Active NPI
Julie Fenske, MS, CCP, FPP
- Perfusionist
- Los Angeles, CA
National Provider Identifier
1740100064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Perfusionist
- License
- 179086-0444
- Practice address
- 1500 San Pablo St # to
Los Angeles, CA 90033-5313 - Phone
- (213) 700-0109
- NPI assigned
- Jul 17, 2026
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Perfusionist | 242T00000X | 179086-0444 | CA | Primary |
Addresses
Primary practice location
1500 San Pablo St # to
Los Angeles, CA 90033-5313
Mailing address
1110 Hacienda PL Apt 102
West Hollywood, CA 90069-2738
Phone (847) 636-8897
Other practice location 1
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone (213) 700-0109
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784246400000",
"number": "1740100064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 HACIENDA PL APT 102",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900692738",
"telephone_number": "847-636-8897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAN PABLO ST # TO",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900335313",
"telephone_number": "213-700-0109"
}
],
"practiceLocations": [
{
"address_1": "4650 W Sunset Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900276062",
"country_code": "US",
"telephone_number": "213-700-0109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENSKE",
"first_name": "JULIE",
"credential": "MS, CCP, FPP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-17",
"last_updated": "2026-07-17",
"certification_date": "2026-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "242T00000X",
"taxonomy_group": "",
"desc": "Perfusionist",
"state": "CA",
"license": "179086-0444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.