Julia Ichikawa, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

63378 Issued in CA

Practice address

2500 Main St
Red Bluff, CA 96080

Phone

(530) 529-2567

Fax

(530) 529-2552

NPI assigned

Mar 30, 2013

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 TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Northern Valley Indian Health Inc

  • Clinic/Center
  • Willows, CA
  • NPI 1295752384
  NPD (past)
• Northern Valley Indian Health, Inc

  • Clinic/Center
  • Red Bluff, CA
  • NPI 1588799449
  NPD (past)

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

{
    "created_epoch": "1364601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1831432699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 MAIN ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960802336",
            "telephone_number": "530-529-2567",
            "fax_number": "530-529-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 MAIN ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "96080",
            "telephone_number": "530-529-2567",
            "fax_number": "530-529-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ICHIKAWA",
        "first_name": "JULIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-30",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "63378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Hunter-Shoop, LMFT
• Lyle Everett Huntley
• Jeremy Darryl Hutton, LMFT
• Kaare Andrew Hyde, CRS
• Madeline R. Hyde, MS, LMFT 162834
• Veronica Im, MSW, ASW
• Integrated Dermatology of Lincoln, PC
• Interim Assisted Care of Northern California (Interim HealthCare Personal Care & Support Serives)
• Interim Assisted Care of Northern California, Inc. (Interim HomeStyle Services)
• Kelli Anne Irving

• Dentist in Red Bluff, CA
• Providers in Red Bluff, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.