Individual provider Active NPI

Ray Cameron Ulatan Vialu

  • Psychologist
  • Fullerton, CA
National Provider Identifier
1104737303
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
680 Langsdorf Dr Ste 200
Fullerton, CA 92831-3702
Phone
(714) 871-9264
Fax
(714) 871-5032
NPI assigned
Sep 15, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X CA Primary

Addresses

Primary practice location

680 Langsdorf Dr Ste 200
Fullerton, CA 92831-3702

Mailing address

17311 Josie Cir
Bellflower, CA 90706-6771
Phone (808) 348-3552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1104737303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17311 JOSIE CIR",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066771",
            "telephone_number": "808-348-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 LANGSDORF DR STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313702",
            "telephone_number": "714-871-9264",
            "fax_number": "714-871-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIALU",
        "first_name": "RAY CAMERON",
        "middle_name": "ULATAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.