Active NPI
Anib-Israel Julian Jr.
- Pharmacy Technician
- Menifee, CA
National Provider Identifier
1801444674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- TCH170849
- Practice address
- 25400 Water Wheel CT
Menifee, CA 92584-9681 - Phone
- (951) 219-1307
- NPI assigned
- Aug 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | TCH170849 | CA | Primary |
Addresses
Primary practice location
25400 Water Wheel CT
Menifee, CA 92584-9681
Mailing address
25400 Water Wheel CT
Menifee, CA 92584-9681
Phone (951) 219-1307
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TCH170849 | CA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1801444674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25400 WATER WHEEL CT",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925849681",
"telephone_number": "951-219-1307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25400 WATER WHEEL CT",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925849681",
"telephone_number": "951-219-1307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JULIAN",
"first_name": "ANIB-ISRAEL",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "TCH170849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.