DR. FERNANDO ULLOA


Address: 711 D St, Suite 113, San Rafael, CA 94901-3707
Phone: 4154544100

DR. FERNANDO ULLOA (NPI# 1124140686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124140686
Entity Type Individual
Full Name DR. FERNANDO ULLOA
Credential M.D.
Practice Address 711 D St
Suite 113
San Rafael
CA 94901-3707
Mailing Address Po Box 1938
Mill Valley
CA 94942-1938
Practice Telephone 4154544100
Mailing Telephone 4154544100
Enumeration Date 2007-04-04
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
G49903 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00G49903 05

Other Providers FERNANDO ULLOA

NPI Name Taxonomy Address Enumeration
1043459563 Fernando M Ulloa Registered Nurse 5607 31st Ave Apt 6h, Woodside, NY 11377-1508 2009-02-05

Office Location

Street Address 711 D ST
SUITE 113
City SAN RAFAEL
State CA
Zip Code 94901-3707

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326018441 Howard Scott Ortman Podiatrist 711 D St, Suite 114, San Rafael, CA 94901-3707 2006-01-23
1528383494 Virginia Gail Johnson Marriage & Family Therapist 711 D St, #211, San Rafael, CA 94901-3707 2010-04-02
1669703542 Tom Thurston Marriage & Family Therapist 711 D St, Suite 201, San Rafael, CA 94901-3707 2010-01-17
1114193711 Linda Silver Counselor 711 D St, #201, San Rafael, CA 94901-3707 2008-05-02
1548440209 Shannon D Myers Marriage & Family Therapist 711 D St, Suite 201, San Rafael, CA 94901-3707 2007-11-10
1457530164 Michael Sedaghatfar Dentist 711 D St, Suite 107, San Rafael, CA 94901-3707 2007-10-30
1447439153 Mary Rachel Brinker Dentist 711 D St, Suite 107, San Rafael, CA 94901-3707 2007-10-30
1871712240 Friedman Chiropractic Inc Chiropractor 711 D St, Suite 104, San Rafael, CA 94901-3703 2007-04-24
1083833420 Jeffrey I Friedman Chiropractor 711 D St, Suite 104, San Rafael, CA 94901-3703 2007-04-24
1821214941 Kirk Allen Rockwell Chiropractor 711 D St, Suite 115, San Rafael, CA 94901-3707 2007-04-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780207134 Marianne Haissman Stefancic Marriage & Family Therapist 409 Forbes Ave., San Rafael, CA 94901 2020-05-20
1093292765 Marin Community Clinic Clinic/Center 411 4th Strteet, Suite A, San Rafael, CA 94901 2018-07-25
1275052516 Laura Ellen Silverstein Marriage & Family Therapist 600 Fifth Avenue, San Rafael, CA 94901 2017-09-19
1689101107 Marin Family Recovery Clinic/Center 1209 Third St. Ste 4, San Rafael, CA 94901 2017-05-15
1376070011 Tencia Beavers-sanchez Counselor 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 2017-05-12
1326584905 Jamie Waterman Emergency Medical Technician, Basic 675 Sir Francis Drake Blvd, Kentfield, CA 94901 2017-01-06
1295270676 Stephen Marks Counselor 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 2016-12-21
1497299812 Vesna Sturman Psychologist 712 D St Ste L, San Rafael, CA 94901 2016-12-05
1063955771 Carol Dutton Hollenberg Behavior Technician 503 D St., San Rafael, CA 94901 2016-11-29
1083069447 Bay Area Community Resources Community/Behavioral Health 103 Shoreline Parkway, San Rafael, CA 94901 2016-05-04
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154986107 School Health Clinics of Santa Clara County Pediatrics 855 Lenzen Ave Rm 105, San Jose, CA 95126-2736 2019-05-06
1669927125 Irvine Doctors of Kids and Teens Pediatrics 4950 Barranca Pkwy Ste 306, Irvine, CA 92604-4631 2016-08-24
1043673270 Alexander S Golec Pediatrics 3333 California St Ste 245, San Francisco, CA 94118-6210 2016-04-04
1710360094 Jennifer Johnson, M.d., A Professional Corporation Pediatrics 366 San Miguel Dr Ste 209, Newport Beach, CA 92660-7810 2015-07-03
1902290448 Brittany Kathleen Badal Pediatrics 2330 Post St Ste 219, San Francisco, CA 94115-3465 2015-03-23
1750770608 Ighia Aintablian Md A Professional Corporation Pediatrics 1510 S Central Ave Ste 450, Glendale, CA 91204-2510 2015-01-15
1184035032 Carlos Beharie M.d. Medical Group, Inc. Pediatrics 4160 N. Maine Ave, Suite B1, B2, B3, Baldwin Park, CA 91706-3304 2014-05-14
1164859385 Pediatric Adolescent Clinic Pediatrics 1214 Adriana Way, Upland, CA 91784-1742 2013-10-02
1578804084 Eleanor S. Blatt Pediatrics 212 20th St, Huntington Beach, CA 92648-3914 2013-03-07
1053676619 Gladys Hope Dadivas Yerro Pediatrics 14555 Hamlin St Ste 108, Van Nuys, CA 91411-1617 2012-07-10
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Competitor

Search similar providers

City SAN RAFAEL
Zip Code 94901

Improve Information

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Dataset Information

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.

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