Individual provider Active NPI

Monica Dejulio, FNP-BC

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1750858882
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61461749 Issued in WA
Practice address
510 Rainier Ave S # a
Seattle, WA 98144-3046
Phone
(206) 686-1266
NPI assigned
Oct 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-18-68959 CA
Family Nurse Practitioner 363LF0000X 2023006900 CA
Family Nurse Practitioner 363LF0000X AP61461749 WA Primary

Addresses

Primary practice location

510 Rainier Ave S # a
Seattle, WA 98144-3046

Mailing address

2498 Sawgrass St
El Cajon, CA 92019-4552

Other names 1

  • Ms. Monica C Bota Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024004190 CA Practitioner - Nurse Practitioner 1254829732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21410 NE 14TH Street
Sammamish, WA 98074

4060 Fairmount Ave
San Diego, CA 92105-1608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RBT-18-68959CAMDBehavior Technician
2023006900CAMDFamily Nurse Practitioner
AP61461749WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Maestra Family Clinic, Inc. CurrentSince Aug 25, 2025 Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince Aug 25, 2025 Accepting new patients
La Maestra Family Clinic, Inc. Current Accepting new patients
B Chue Consulting, P.S. CurrentSince Jan 28, 2024 Accepting new patients
La Maestra Family Clinic Past Accepting new patients

Locations

165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347

4074 Fairmount Ave
San Diego, CA 92105
Phone (619) 284-1141

4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155

510 Rainier Ave S
#A
Seattle, WA 98144
Phone (206) 686-1266

Interoperability endpoints

  • Direct secure messaging: monica.dejulio.p1@direct.lamaestra.nextgenshare.com

Organizations & group practices 5

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": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1750858882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2498 SAWGRASS ST",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920194552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 RAINIER AVE S # A",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443046",
            "telephone_number": "206-686-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJULIO",
        "first_name": "MONICA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-26",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-18-68959",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "2023006900",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61461749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "BOTA",
            "middle_name": "C",
            "prefix": "MS.",
            "credential": "FNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.