Douglas Kent Ulmer, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A24825 Issued in CA

Practice address

1045 Atlantic Ave Ste 819
Long Beach, CA 90813-3410

Phone

(562) 435-5621

Fax

(562) 437-3121

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Wu Enterprise Inc.

  • Procedural Dermatology Physician
  • Long Beach, CA
  • NPI 1881352581
  Medicare reassignment NPD
• James Wu MD Inc

  • Dermatology Physician
  • Hawthorne, CA
  • NPI 1134785785
  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1225068984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "819",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90813",
            "telephone_number": "562-435-5621",
            "fax_number": "562-437-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 819",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133410",
            "telephone_number": "562-435-5621",
            "fax_number": "562-437-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULMER",
        "first_name": "DOUGLAS",
        "middle_name": "KENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A24825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A248250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ui Medical, LLC
• Ungsana Ukarapong, M.D.
• Chinyere Paris Ukattah
• Kristy Ulley, MA, CLVT, COMS
• Ashley Ulloa
• Lara Carcoura Ulmer
• Ultimate Health Medical Services LLC., a California Liability Company
• Ultimate Homecare
• Sun Hwe Um, N.P.
• Jennifer Edolmo Umayam, RN, BSN, PHN

• Dermatology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.