Healthcare Provider Details

I. General information

NPI: 1841164852
Provider Name (Legal Business Name): JULIE ELLEN MARIA BA, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/24/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 KOHALA ST
OXNARD CA
93030-7305
US

IV. Provider business mailing address

1800 SOLAR DR
OXNARD CA
93030-2655
US

V. Phone/Fax

Practice location:
  • Phone: 805-983-0277
  • Fax: 805-981-2140
Mailing address:
  • Phone: 805-485-1442
  • Fax: 805-981-2140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number675932
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: