JULIE ANTONOVA M.D.
NPI 1851786826
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
4647 ZION AVE, SAN DIEGO, CA 92120(619) 528-5000 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Julie Antonova M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIE ANTONOVA M.D. (NPI 1851786826) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2015).

NPPES Registry Identity

NPI1851786826
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJULIE ANTONOVACredential: M.D.
Location Address4647 ZION AVESan Diego, CA 92120-2507
Mailing Address1295 Rubenstein AveCardiff By The Sea, CA 92007-2409 · (650) 353-6290
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateNovember 22, 2021
NPI 1851786826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4647 ZION AVE, San Diego, CA 92120

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Julie Antonova M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769758663
PECOS Enrollment IDI20180313001097
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine
4647 ZION AVE, DEPARTMENT OF HOSPITAL MEDICINE
SAN DIEGO, CA 92120
Pharmacist
4647 ZION AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4647 ZION AVE
SAN DIEGO, CA 92120
Social Worker (Clinical)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Pulmonary Disease)
4647 ZION AVE
SAN DIEGO, CA 92120
Internal Medicine (Infectious Disease)
4647 ZION AVE
SAN DIEGO, CA 92120

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julie Antonova's NPI number?

The NPI number for Julie Antonova is 1851786826. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Julie Antonova located?

Julie Antonova practices at 4647 Zion Ave, San Diego, CA 92120. The listed phone number is (619) 528-5000.

What is Julie Antonova's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Julie Antonova enrolled in Medicare?

Yes. Julie Antonova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Julie Antonova was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.