Individual provider Active NPI

Julie Hwynn, M.D.

  • Internal Medicine Physician
  • Garden Grove, CA
National Provider Identifier
1780682401
Registry record updated Feb 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66861 Issued in CA
Practice address
12555 Garden Grove Blvd
Suite 301
Garden Grove, CA 92843-1902
Phone
(714) 741-0501
Fax
(714) 741-0095
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A66861 CA Primary

Addresses

Primary practice location

12555 Garden Grove Blvd
Suite 301
Garden Grove, CA 92843-1902

Mailing address

12555 Garden Grove Blvd
Suite 301
Garden Grove, CA 92843-1902
Phone (714) 741-0501

Other identifiers 1

IdentifierTypeStateIssuer
00A668610MedicaidCA

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
I20040630000410 CA Practitioner - Internal Medicine 0547246548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Choice Aco IncGroup PAC ID 7719379395, 60 clinicians

Practice addresses (Care Compare)

12555 Garden Grove Blvd
Suite 301
Garden Grove, CA 92843-1903
Phone (714) 741-0501

7631 Wyoming St
Suite 201
Westminster, CA 92683-3904
Phone (714) 898-0765

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66861CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Choice Aco Inc Internal Medicine CurrentSince Oct 19, 2021 Accepting new patients
Garden Grove Primary Care Medicine, Inc. Internal Medicine CurrentSince Nov 20, 2000 Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
Garden Grove Women'S Health Specialists, Inc. PastSince Nov 20, 2000 Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients

Locations

12555 Garden Grove Blvd
Ste 301
Garden Grove, CA 92843
Phone (714) 741-0501

7631 Wyoming St
Ste 201
Westminster, CA 92683
Phone (714) 898-0765

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329523200000",
    "number": "1780682401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD",
            "address_2": "SUITE 301",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431902",
            "telephone_number": "714-741-0501",
            "fax_number": "714-741-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD",
            "address_2": "SUITE 301",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431902",
            "telephone_number": "714-741-0501",
            "fax_number": "714-741-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWYNN",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2012-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A668610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.