Individual provider Active NPI

Julie Ann Trussell, D.C.

  • Chiropractor
  • Thousand Oaks, CA
National Provider Identifier
1801040241
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16502 Issued in CA
Practice address
1325 E Thousand Oaks Boulevard Suite 104
Thousand Oaks, CA 91362-2822
Phone
(805) 371-6144
NPI assigned
Nov 12, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16502 CA Primary

Addresses

Primary practice location

1325 E Thousand Oaks Boulevard Suite 104
Thousand Oaks, CA 91362-2822

Mailing address

1325 E Thousand Oaks Blvd Ste 104
Thousand Oaks, CA 91362-6258
Phone (805) 901-1184

Other names 1

  • Dr. Julie Robotham Trussell Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100503000284 CA Practitioner - Chiropractic 2769510395 Reassigns benefits to 1 organization
Practice locations: Thousand Oaks, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
University of Texas Medical School at Houston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory a Celaya Chiropractic CorporationGroup PAC ID 2769512946, 2 clinicians

Practice addresses (Care Compare)

1325 E Thousand Oaks Blvd
Suite 104
Thousand Oaks, CA 91362-6258
Phone 8053716144104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16502CAMDFamily Nurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1801040241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E THOUSAND OAKS BLVD STE 104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913626258",
            "telephone_number": "805-901-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E THOUSAND OAKS BOULEVARD SUITE 104",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913622822",
            "telephone_number": "805-371-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSSELL",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ROBOTHAM TRUSSELL",
            "prefix": "DR.",
            "credential": "DC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.