Individual provider Active NPI

Mia Di Julio, M.D.

  • Obstetrics & Gynecology Physician
  • Santa Monica, CA
National Provider Identifier
1750783452
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A138383 Issued in CA
Practice address
2001 Santa Monica Blvd Ste 970W
Santa Monica, CA 90404-2199
Phone
(310) 829-7878
Fax
(310) 453-5586
NPI assigned
Sep 24, 2014
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Obstetrics & Gynecology Physician 207V00000X A138383 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd Ste 970W
Santa Monica, CA 90404-2199

Mailing address

2001 Santa Monica Blvd Ste 970W
Santa Monica, CA 90404-2199
Phone (310) 829-7878

Other practice location 1

1000 W Carson St # 3
Torrance, CA 90502-2004
Phone (310) 222-3886

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mdijulio962335@oc.providencedirect.org
Direct Messaging Address mdijulio962335@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181011000334 CA Practitioner - Obstetrics/Gynecology 6507118098 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Miami, LM Miller School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12555 W Jefferson Blvd
Los Angeles, CA 90066-7032

2001 Santa Monica Blvd
Suite 970W
Santa Monica, CA 90404-2199
Phone (310) 829-7878

2121 Santa Monica Blvd
Santa Monica, CA 90404-2303
Phone (310) 829-5511

2336 Santa Monica Blvd
Suite 204
Santa Monica, CA 90404-2938
Phone (310) 829-6789

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A138383CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frumovitz, Matsunaga, Daly, Ross, Thordarson, Vogel, MD's - a Med Corp CurrentSince Jan 5, 2019 Accepting new patients
Providence Saint Johns Medical Foundation CurrentSince Oct 1, 2018 Accepting new patients
Saint John's Health Clinic Past Accepting new patients

Locations

2001 Santa Monica Blvd
Ste 970
Santa Monica, CA 90404
Phone (310) 829-7878

2001 Santa Monica Blvd
Ste 970W
Santa Monica, CA 90404
Phone (310) 829-7272

2020 Santa Monica Blvd
Ste 300
Santa Monica, CA 90404
Phone (310) 582-7312

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mdijulio962335@oc.providencedirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1750783452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 970W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042199",
            "telephone_number": "310-829-7878",
            "fax_number": "310-453-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 970W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042199",
            "telephone_number": "310-829-7878",
            "fax_number": "310-453-5586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St # 3",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "310-222-3886",
            "fax_number": "310-782-8148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DI JULIO",
        "first_name": "MIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A138383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdijulio962335@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "12555 W Jefferson Blvd Ste 301",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900667032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdijulio962335@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2001 Santa Monica Blvd Ste 970W",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.