Active NPI
Julie Gay Wareham, MD
- Psychiatry Physician
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G64072
- 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
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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| 64072 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Psychiatric Medical Group, Inc. | Psychiatry | Current | Accepting new patients |
| Riverside-San Bernardino County Indian Health, Inc | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc | Current | 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 | Current | Accepting new patients |
| Inland Psychiatric Medical Group, Inc. | Psychiatry | Past | 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
- 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.
-
- Psychiatry Physician
- Redlands, CA
- NPI 1649217761
-
- Psychiatry Physician
- Corona, CA
- NPI 1225383763
-
- Federally Qualified Health Center (FQHC)
- Grand Terrace, CA
- NPI 1174676670
TX
-
- Psychiatry Physician
- Claremont, CA
- NPI 1336463520
-
- Psychiatry Physician
- Redlands, CA
- NPI 1336977990
-
- Federally Qualified Health Center (FQHC)
- Mountain Center, CA
- NPI 1366028086
-
- Federally Qualified Health Center (FQHC)
- Banning, CA
- NPI 1437202124
-
- Psychiatry Physician
- Moreno Valley, CA
- NPI 1427104116
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.
- 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.