Provider Demographics
NPI:1730205220
Name:JULIAN, KATIE MELISSA (MD)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:MELISSA
Last Name:JULIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:KATIE
Other - Middle Name:MELISSA
Other - Last Name:BARTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 E CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-5906
Mailing Address - Country:US
Mailing Address - Phone:805-739-3215
Mailing Address - Fax:805-739-3245
Practice Address - Street 1:1400 E CHURCH ST
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5906
Practice Address - Country:US
Practice Address - Phone:805-739-3215
Practice Address - Fax:805-739-3245
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA119083207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB227296Medicare PIN