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Julia Rogers Nordgren

Pediatrics

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as JULIA NORDGREN.

Based on the most recent information from CMS, provider Julia Rogers Nordgren is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1346386893
Provider Type
Individual
Full Name
Nordgren, Julia Rogers
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
1/30/2007
Last Updated
4/10/2024

Contact Information

Practice Location

725 Welch Rd, Palo Alto, CA 94304-1601

(650) 497-8000

Unlisted Fax

Mailing Location

725 Welch Rd, Palo Alto, CA 94304-1601

(650) 497-8000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License C137012 California

Provider Identifiers

ID	Description	Issuer
ID 30203087	Description Medicaid	Issuer Unlisted New Hampshire

Julia Rogers Nordgren

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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Stevens, Christina

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Pu, Helen Xin

Ayeroff, Eve

Chia, Jean

Gaman-Bean, Shayna Kristine

Luz, Danielle