Julie A Prazich, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G28985 Issued in CA

Practice address

4311 Third Ave
San Diego, CA 92103

Phone

(619) 688-1600

Fax

(619) 688-1734

NPI assigned

Oct 26, 2006

Last updated

Aug 10, 2010By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1861577736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 THIRD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-688-1600",
            "fax_number": "619-688-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 THIRD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92103",
            "telephone_number": "619-688-1600",
            "fax_number": "619-688-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAZICH",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G28985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G289850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall Nicoll Pratt Jr., M.D.
• Sarah Pratt
• Sherri Brechbill Pratt, D.C.
• Tabitha Pratt, MS, RD
• Larabeth Pratte
• Grace Preble
• Precedent Management Firm, LLC
• Alexandra Jazmine Preciado
• Amanda Preciado, RN
• Carlos Emilio Preciado

• General Practice Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.