JULIE DUTTON (NPI# 1013136423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013136423 |
| Entity Type | Individual |
| Full Name | JULIE DUTTON |
| Credential | NP |
| Practice Address |
4855 Atherton Ave Ste 101 San Jose CA 95130-1026 |
| Mailing Address |
12900 Park Plaza Dr Ste 150 Cerritos CA 90703-9329 |
| Practice Telephone | 4089632400 |
| Practice Fax Number | 4089632472 |
| Mailing Telephone | 5629774639 |
| Mailing Fax Number | 5627414479 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2019-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
455229 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902297609 | Julie Dutton X | Specialist/Technologist | 586 Middle Tpke E, Manchester, CT 06040-3730 | 2015-02-17 |
| 1518925379 | Julie Dutton | Anesthesiology | 44405 Woodward Ave, Pontiac, MI 48341-5023 | 2006-05-02 |
| Street Address |
4855 ATHERTON AVE STE 101 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95130-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508423567 | Kee Jin Kwon | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2019-05-24 |
| 1487119525 | Sarah Gayle Sadumiano Galinato | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2019-02-03 |
| 1255797122 | Amandeep Kaur Mann | Dietitian, Registered | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2016-01-07 |
| 1568834505 | Caremore Health Plan | Nurse Practitioner | 4855 Atherton Ave Ste 101, San Jose, CA 95130-1026 | 2015-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316599087 | Ajay Pala | Occupational Therapist | 20400 Los Gatos-saratoga Rd, Saratoga, CA 95130 | 2019-07-12 |
| 1366516205 | Irene Shuk Wong | Nurse Practitioner | 4855 Atherton Ave, San Jose, CA 95130 | 2006-11-20 |
| 1417489691 | Laura Silvester | Marriage & Family Therapist | 4950 Hamilton Ave Ste 102, San Jose, CA 95130 | 2017-03-28 |
| 1184806325 | Michael Hwa | Internal Medicine | 751 S. Bascom Ave., San Jose, CA 95130 | 2007-11-29 |
| 1114438074 | Gregory Paul Roumbanis | Marriage & Family Therapist | 4855 Atherton Ave Ste 201, San Jose, CA 95130-1026 | 2017-10-18 |
| 1912045840 | Scott Waddell | Chiropractor | 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026 | 2007-02-02 |
| 1699245795 | Jim Patton | Massage Therapist | 4855 Atherton Ave Ste 204, San Jose, CA 95130-1026 | 2018-11-30 |
| 1790255990 | Aya Pierre | Nurse Practitioner | 4855 Atherton Ave, San Jose, CA 95130-1026 | 2018-11-29 |
| 1184131039 | Pattyjo Marsette | Marriage & Family Therapist | 4855 Atherton Ave Ste 201, San Jose, CA 95130-1026 | 2018-01-01 |
| 1033566401 | Minh Tran | Chiropractor | 4855 Atherton Ave, Ste. 202, San Jose, CA 95130-1026 | 2016-05-16 |
| Find all providers in zip 95130 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487921656 | Pratima Gupta | Nurse Practitioner | 255 N White Rd, Suite 200, San Jose, CA 95127-1964 | 2011-11-16 |
| 1609844729 | Marion Jean Hogan | Nurse Practitioner | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2006-03-14 |
| 1003213679 | Jodie Sugiyama | Nurse Practitioner | 4850 Union Ave, San Jose, CA 95124-5156 | 2014-11-26 |
| 1780017632 | Elisha Bonny Eng Jang | Nurse Practitioner | 299 Stockton Ave, San Jose, CA 95126-2763 | 2013-08-14 |
| 1871548701 | Deena Marie Bunzel | Nurse Practitioner | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2006-05-22 |
| 1043289523 | Marypat Kelly | Nurse Practitioner | 80 Great Oaks Blvd, San Jose, CA 95119-1310 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139109 | Lena Kazanchyan | Nurse Practitioner | 11834 Archwood St, North Hollywood, CA 91606-1603 | 2020-09-16 |
| 1740898386 | Victor De Guzman | Nurse Practitioner | 24808 Sand Wedge Ln, Valencia, CA 91355-2315 | 2020-07-20 |
| 1114535937 | Ashley Elizabeth Rosso | Nurse Practitioner | 3111 Camino Del Rio N Ste 625, San Diego, CA 92108-5718 | 2020-07-17 |
| 1518586452 | Zaruhi Harutyunyan | Nurse Practitioner | 7901 Santa Monica Blvd Ste 206, West Hollywood, CA 90046-5180 | 2020-04-10 |
| 1457986168 | Maritza J Lira | Nurse Practitioner | 23141 Verdugo Dr Ste 201, Laguna Hills, CA 92653-1341 | 2020-03-03 |
| 1225677198 | Shannon Ha Duyen Sicat | Nurse Practitioner | 2617 E Chapman Ave Ste 109, Orange, CA 92869-3245 | 2019-12-24 |
| 1528605961 | Elsa L Pineda-flores | Nurse Practitioner | 1513 S Grand Ave Ste 306, Los Angeles, CA 90015-3075 | 2019-12-04 |
| 1447895073 | Kemi Osilesi | Nurse Practitioner | 1943 Seasons St, Simi Valley, CA 93065-0580 | 2019-11-07 |
| 1487297107 | Fareeha Sipra | Nurse Practitioner | Fresno County Jail, 1225 M Street, Fresno, CA 93721 | 2019-10-25 |
| 1255993531 | May Therese Ronci | Nurse Practitioner | 38504 Cougar Pass, Palmdale, CA 93551-5019 | 2019-07-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.