Individual provider Active NPI

Juliana K Gabbard, MSN, NP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1982829644
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP7887 Issued in CA
Practice address
7565 Mission Valley Rd
San Diego, CA 92108-4431
Phone
(619) 245-2810
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP7887 CA Primary

Addresses

Primary practice location

7565 Mission Valley Rd
San Diego, CA 92108-4431

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (619) 245-2810

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150624002862 CA Practitioner - Nurse Practitioner 4789995259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hardison Medical CorporationGroup PAC ID 1456604339, 13 clinicians

Practice addresses (Care Compare)

6037 La Granada
Suite C
Rancho Santa Fe, CA 92067
Phone (858) 771-1349

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP7887CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hardison Medical Corporation CurrentSince Mar 1, 2023 Accepting new patients

Locations

142 Encinitas Blvd
Encinitas, CA 92024
Phone (760) 230-1888

4110 Sorrento Valley Blvd
San Diego, CA 92121
Phone (858) 246-9698

3940 4th Ave
Ste 130140
San Diego, CA 92103
Phone (760) 230-1888

Interoperability endpoints

  • Direct secure messaging: juliana.gabbard.1@20083.direct.athenahealth.com

Organizations & group practices 1

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1982829644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "619-245-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 MISSION VALLEY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084431",
            "telephone_number": "619-245-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "JULIANA",
        "middle_name": "K",
        "credential": "MSN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP7887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.