Organization Active NPI

Julie Ralls, M.D., Inc.

  • Clinic/Center
  • Newport Beach, CA
National Provider Identifier
1912101015
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
G63700 Issued in CA
Legal business name
JULIE RALLS, M.D., INC.
Practice address
2011 Westcliff Dr Ste 4
Newport Beach, CA 92660-5508
Phone
(949) 646-3316
Fax
(949) 646-1310
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Julie Robin Ralls, M.D.
Title
Ceo
Phone
(949) 646-3316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X G63700 CA Primary

Addresses

Primary practice location

2011 Westcliff Dr Ste 4
Newport Beach, CA 92660-5508

Mailing address

2011 Westcliff Dr Ste 4
Newport Beach, CA 92660-5508
Phone (949) 646-3316

Other identifiers 1

IdentifierTypeStateIssuer
--G637001MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912101015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 WESTCLIFF DR STE 4",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605508",
            "telephone_number": "949-646-3316",
            "fax_number": "949-646-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 WESTCLIFF DR STE 4",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605508",
            "telephone_number": "949-646-3316",
            "fax_number": "949-646-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE RALLS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RALLS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-646-3316",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "G63700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "--G637001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.