Myra Belle Julom, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA62304 Issued in CA

Practice address

1275 N Rose Dr Ste 126
Placentia, CA 92870-3919

Phone

(714) 524-3880

NPI assigned

Mar 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: myra.julom.1@29786.direct.athenahealth.com

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.

• Access Primary Care Physicians, Inc.

  dba AVA Health Partners

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1750858510
  Medicare reassignment
• Secure Health Medical Group Inc

  • Clinic/Center
  • Placentia, CA
  • NPI 1275690828
  Medicare reassignment

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1801597539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD STE 601",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N ROSE DR STE 126",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703919",
            "telephone_number": "714-524-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULOM",
        "first_name": "MYRA BELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge de la Osa Dental Corporation
• Jose Eduardo Lara DDS Inc (Atwood Family Dentistry)
• Joseph G Mayo III MD Inc
• Alicia Juarez
• Julie Marie Stewart Chiropractic, Inc
• Young Jun, DDS/MD
• Andrew Jung, DPT
• Justin Hui Individual and Family Therapy Inc
• K&J in Home Care Services (Home Instead)
• Priyanka Kalidindi

• Physician Assistant in Placentia, CA
• Providers in Placentia, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.