Individual provider Active NPI

David Stuart Ullman, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Woodland Hills, CA
National Provider Identifier
1114055654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E3227 Issued in CA
Practice address
5727 Canoga Ave
# 291
Woodland Hills, CA 91367-6518
Phone
(818) 992-5981
Fax
(818) 992-5967
NPI assigned
Feb 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X E3227 CA Primary

Addresses

Primary practice location

5727 Canoga Ave
# 291
Woodland Hills, CA 91367-6518

Mailing address

5727 Canoga Ave
# 291
Woodland Hills, CA 91367-6518
Phone (818) 992-5981

Other identifiers 1

IdentifierTypeStateIssuer
E3227OtherCASTATE LICENSE NUMBER CA.

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000931 CA Practitioner - Podiatry 8123099728

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17345 Burton St
Northridge, CA 91325-4405
Phone (818) 708-0627

17843 Cantara St
Reseda, CA 91335-1516
Phone (818) 343-3936

18901 Liggett St
Northridge, CA 91324-2843
Phone (818) 203-4334

19601 Roscoe Blvd
Northridge, CA 91324-4142
Phone (818) 993-1151

19615 Roscoe Blvd
Northridge, CA 91324-4142
Phone (818) 701-9193

19625 Roscoe Blvd
Northridge, CA 91324-4142
Phone (818) 772-0391

20000 Lassen St
Chatsworth, CA 91311-5537
Phone (818) 775-9397

21711 Ventura Blvd
Woodland Hills, CA 91364-1835
Phone (818) 999-2610

22537 Marlin PL
West Hills, CA 91307-2624
Phone (818) 594-7294

22600 Kittridge St
West Hills, CA 91307-3608
Phone (818) 704-7733

22615 Kittridge St
West Hills, CA 91307-3609
Phone (818) 704-4204

22625 Kittridge St
West Hills, CA 91307-3609
Phone (818) 883-3356

22626 Kittridge St
West Hills, CA 91307-3608
Phone (818) 884-2214

22853 Enadia Way
West Hills, CA 91307-2205
Phone (818) 610-1015

24312 Caris St
Woodland Hills, CA 91367-1117
Phone (818) 610-1082

5727 Canoga Ave
Woodland Hills, CA 91367-6523
Phone (818) 992-5981

6624 Sale Ave
West Hills, CA 91307-3628
Phone (818) 704-6828

6636 Sale Ave
West Hills, CA 91307-3628
Phone (818) 704-9174

7055 Shoup Ave
West Hills, CA 91307-2335
Phone (818) 883-7201

7057 Shoup Ave
West Hills, CA 91307-2335
Phone (818) 348-8422

7231 Madora Ave
Winnetka, CA 91306-3026
Phone (818) 341-0620

7301 Quartz Ave
Canoga Park, CA 91306-3036
Phone (818) 882-0847

9645 Fullbright Ave
Chatsworth, CA 91311-5329
Phone (818) 993-9719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E3227CAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Adat Shalom Manor Past Accepting new patients
Robert Marriott Medical Corp Past Accepting new patients
All Care Physical Therapy, P.C. Past Accepting new patients
STR LP PastSince Jul 19, 2020 Accepting new patients
Seniorcare at Northridge Past Accepting new patients
Senior Wellness Dynamics, Inc. Past Accepting new patients
Orion Medical Group Past Accepting new patients
Robert O Flores MD Inc Past Accepting new patients
Fallbrook Elderly Care LLC PastSince Apr 9, 2024 Accepting new patients
Roland W. Jacobs, MD, PC Past Accepting new patients
Comfort Cove Assisted Living Tarzana LLC Past Accepting new patients
Marble Terrace II Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.ullman.1@10578.direct.athenahealth.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114055654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5727 CANOGA AVE",
            "address_2": "# 291",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676518",
            "telephone_number": "818-992-5981",
            "fax_number": "818-992-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5727 CANOGA AVE",
            "address_2": "# 291",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913676518",
            "telephone_number": "818-992-5981",
            "fax_number": "818-992-5967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLMAN",
        "first_name": "DAVID",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E3227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER  CA.",
            "identifier": "E3227",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.