Individual provider Active NPI

David Michael Ulick, MD

  • Emergency Medicine Physician
  • Pasadena, CA
National Provider Identifier
1023019460
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A100612 Issued in CA
Practice address
100 W California Blvd
Department of Emergency Medicine
Pasadena, CA 91109
Phone
(626) 397-5106
NPI assigned
Aug 9, 2005
Last updated
Jan 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A100612 CA Primary
Emergency Medicine Physician 207P00000X MD026268 LA

Addresses

Primary practice location

100 W California Blvd
Department of Emergency Medicine
Pasadena, CA 91109

Mailing address

100 W California Blvd PO Box 7013
Huntington Hospital
Pasadena, CA 91109-7013
Phone (626) 397-5106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071023000595 CA Practitioner - Emergency Medicine 0648203018 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HMH Emergency Medical Group, Inc.Group PAC ID 7911800826, 56 clinicians
Exer Medical CorporationGroup PAC ID 9032359534, 336 clinicians

Practice addresses (Care Compare)

100 W California Blvd
Pasadena, CA 91105-3010
Phone 6264470296142

26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225

475 Foothill Blvd
Suite K
La Canada, CA 91011-3555
Phone (818) 528-6377

797 S Fair Oaks Ave
Suite 100
Pasadena, CA 91105-2617
Phone (626) 385-1455

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD026268LAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Oct 15, 2014 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Exer Medical Corporation CurrentSince May 30, 2018 Accepting new patients
HMH Emergency Medical Group, Inc. Emergency Medicine CurrentSince Apr 2, 2011 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jan 1, 2016 Accepting new patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Keith Van Meter & Associates Past Accepting new patients

Locations (25 of 43)

26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
#4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

359 Carmen Dr
Camarillo, CA 93010
Phone (805) 914-5592

751 Medical Center Ct
#1182
Chula Vista, CA 91911

235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010

210 W San Bernardino Rd
Covina, CA 91723
Phone (626) 858-8580

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271

4143 Campus Dr
Ste C200
Irvine, CA 92612
Phone (949) 471-0002

475 Foothill Blvd
Ste K
La Canada, CA 91011
Phone (818) 528-6377

5101 Lakewood Blvd
Lakewood, CA 90712
Phone (562) 800-3883

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

4200 E Pacific Coast Hwy
Ste 150
Long Beach, CA 90804
Phone (562) 498-1555

2090 Westwood Blvd
Los Angeles, CA 90025
Phone (213) 813-4070

4121 Santa Monica Blvd
Ste 106
Los Angeles, CA 90029
Phone (213) 335-7355

8000 W Sunset Blvd
Ste C110
Los Angeles, CA 90046
Phone (213) 412-0400

8985 Venice Blvd
Los Angeles, CA 90034
Phone (310) 474-2152

8985 Venice Blvd
Ste A3B
Los Angeles, CA 90034
Phone (424) 502-1020

File 50670
Los Angeles, CA 90074

3215 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (424) 295-0540

4730 Lincoln Blvd
Marina del Rey, CA 90292
Phone (424) 352-0371

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1023019460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W CALIFORNIA BLVD PO BOX 7013",
            "address_2": "HUNTINGTON HOSPITAL",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911097013",
            "telephone_number": "626-397-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CALIFORNIA BLVD",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91109",
            "telephone_number": "626-397-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULICK",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A100612",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD026268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.