Individual provider Active NPI

Julie Gay Wareham, MD

  • Psychiatry Physician
  • Redlands, CA
National Provider Identifier
1801853114
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G64072 Issued in CA
Practice address
1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone
(909) 335-3026
Fax
(909) 335-3167
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G64072 CA Primary

Addresses

Primary practice location

1809 W Redlands Blvd
Redlands, CA 92373-8054

Mailing address

1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 335-3026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070622000566 CA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 9638082522 Reassigns benefits to 2 organizations
I20160405001915 TX Practitioner - Psychiatry 9638082522 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

23110 Atlantic Cir
Moreno Valley, CA 92553-5920
Phone (951) 243-6455

4510 Brockton Ave
Suite 375
Riverside, CA 92501-4020
Phone (951) 276-1100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64072CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inland Psychiatric Medical Group, Inc. Psychiatry CurrentSince Feb 27, 2009 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Mar 1, 2016 Accepting new patients
Riverside-San Bernardino County Indian Health, Inc CurrentSince Mar 1, 2016 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatry Current Accepting new patients
Riverside-San Bernardino County Indian Health, Inc. Current Accepting new patients
Inland Psychiatric Medical Group, Inc Psychiatry CurrentSince Feb 27, 2009 Accepting new patients
Inland Psychiatric Medical Group, Inc. Psychiatry PastSince Apr 6, 2025 Accepting new patients

Locations

11555 Potrero Rd
#1-2
Banning, CA 92220
Phone (909) 849-4761

5475 Walnut Ave
Chino, CA 91710
Phone (909) 591-6446

540 W Baseline Rd
Ste 3
Claremont, CA 91711
Phone (909) 542-0633

770 Magnolia Ave
Ste 1F
Corona, CA 92879
Phone (951) 737-1917

11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470

16279 Walnut St
Hesperia, CA 92345
Phone (760) 243-7700

81709 Doctor Carreon Blvd
Ste C1
Indio, CA 92201
Phone (760) 330-5161

24432 Muirlands Blvd
Ste 131
Lake Forest, CA 92630
Phone (714) 520-3000

11306 Mountain View Ave
Ste A
Loma Linda, CA 92354
Phone (909) 423-0408

23100 Eucalyptus Ave
Ste D
Moreno Valley, CA 92553
Phone (619) 881-4516

23110 Atlantic Cir
Ste F
Moreno Valley, CA 92553
Phone (951) 243-6455

73700 Dinah Shore Dr
Ste 106
Palm Desert, CA 92211
Phone (760) 832-6352

8710 Monroe Ct
Ste 150
Rancho Cucamonga, CA 91730
Phone (909) 941-4870

255 Terracina Blvd
Ste 204
Redlands, CA 92373
Phone (909) 496-1266

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

23119 Soboba Rd
San Jacinto, CA 92583
Phone (951) 654-0803

2372 Sterling Ave
Sn Bernrdno, CA 92404
Phone (909) 422-8029

56970 Yucca Trl
Ste 104
Yucca Valley, CA 92284
Phone (760) 365-3711

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: julie.wareham.p5@direct.mydohc.nextgenshare.com

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1801853114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738054",
            "telephone_number": "909-335-3026",
            "fax_number": "909-335-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738054",
            "telephone_number": "909-335-3026",
            "fax_number": "909-335-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAREHAM",
        "first_name": "JULIE",
        "middle_name": "GAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G64072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.