Daniel Ulloa

Primary specialty

DentistTaxonomy code 122300000X

License

112039 Issued in CA

Practice address

6165 Valley Springs Pkwy Ste E
Riverside, CA 92507-0955

Phone

(951) 214-6585

Fax

(951) 214-6589

NPI assigned

Aug 13, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sergio P. Saucedo DDS Inc.

  dba Inner Brightness Dental Pratice

  • Dental Clinic/Center
  • Riverside, CA
  • NPI 1124324561
  NPD (past)

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1205712494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 THUNDER RUN APT 22E",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926147027",
            "telephone_number": "714-351-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 VALLEY SPRINGS PKWY STE E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070955",
            "telephone_number": "951-214-6585",
            "fax_number": "951-214-6589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 E 17th St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927062802",
            "country_code": "US",
            "telephone_number": "714-667-0161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULLOA",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "112039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osaigiakpe Ugheighele, FNP
• Josephine Uhls, RN
• Isabel Ulibarri
• Alejandro Ulloa
• Brandon Ulloa
• Gisselle Ulloa
• Glenis Ulloa
• Mylene Miranda Ulloa
• Ultimate Care Pharmacy
• Josseline Heleana Umanzor

• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.