Individual provider Active NPI

Julie Nicole, MD

  • Gynecology Physician
  • Fresno, CA
National Provider Identifier
1912149691
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
A123758 Issued in CA
Practice address
3032 Tulare St
Fresno, CA 93721-1415
Phone
(559) 889-3246
Fax
(559) 422-6151
NPI assigned
Mar 27, 2009
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X A123758 CA Primary

Addresses

Primary practice location

3032 Tulare St
Fresno, CA 93721-1415

Mailing address

3032 Tulare St
Fresno, CA 93721-1415
Phone (559) 889-3246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141030002681 CA Practitioner - Obstetrics/Gynecology 9335360544 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Vermont College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (800) 967-2289

3032 Tulare St
Fresno, CA 93721-1415
Phone (559) 889-3246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123758CAMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Aug 18, 2014 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Mar 13, 2024 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
Community Foundation Medical Group CurrentSince Feb 1, 2016 Accepting new patients
University of California SFGH Medical Group Obstetrics & Gynecology CurrentSince Aug 18, 2014 Accepting new patients
Fresno Inclusive Foundation Current Accepting new patients
Fresno Collective for Inclusive Medicine Inc. Gynecology CurrentSince Oct 21, 2024 Accepting new patients
Community Foundation Medical Group CurrentSince Feb 1, 2016 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Samir E. Hage, D.O., Inc. Obstetrics & Gynecology Past Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

2210 E Illinois Ave
Ste 505
Fresno, CA 93701
Phone (559) 266-8989

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

3032 Tulare St
Fresno, CA 93721
Phone (559) 233-1193

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Interoperability endpoints

  • Direct secure messaging: julie.nicole.1@32605.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1912149691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211415",
            "telephone_number": "559-889-3246",
            "fax_number": "559-422-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 TULARE ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211415",
            "telephone_number": "559-889-3246",
            "fax_number": "559-422-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLE",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-27",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "A123758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.