Individual provider Active NPI

Julie Ann Oates, CNM

  • Advanced Practice Midwife
  • Redondo Beach, CA
National Provider Identifier
1912538166
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
236051 Issued in CA
Practice address
2015 Marshallfield LN Unit B
Redondo Beach, CA 90278-4213
Phone
(480) 326-9753
NPI assigned
Jan 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 236051 CA Primary

Addresses

Primary practice location

2015 Marshallfield LN Unit B
Redondo Beach, CA 90278-4213

Mailing address

2015 Marshallfield LN Unit B
Redondo Beach, CA 90278-4213
Phone (480) 326-9753

Other names 1

  • Julie Ann Sorensen Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722001932 CA Practitioner - Certified Nurse Midwife (CNM) 9436552825 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
236051CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Aug 16, 2021 Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince Aug 16, 2021 Accepting new patients

Locations

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

4201 Torrance Blvd
Ste 350
Torrance, CA 90503
Phone (310) 540-5494

4201 Torrance Blvd
Ste 480
Torrance, CA 90503
Phone (424) 309-1461

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1912538166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 MARSHALLFIELD LN UNIT B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784213",
            "telephone_number": "480-326-9753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 MARSHALLFIELD LN UNIT B",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784213",
            "telephone_number": "480-326-9753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATES",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "236051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "SORENSEN",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.