Active NPI
Corine Ulloa
- Health Service Psychologist
- Barstow, CA
National Provider Identifier
1225992852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- C6556567
- Practice address
- 34764 Birch Rd
Barstow, CA 92311-7237 - Phone
- (760) 548-7649
- NPI assigned
- Dec 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | C6556567 | CA | Primary |
Addresses
Primary practice location
34764 Birch Rd
Barstow, CA 92311-7237
Mailing address
34756 Birch Rd
Barstow, CA 92311-7237
Phone (760) 548-7649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C6556567 | CA | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1225992852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34756 BIRCH RD",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923117237",
"telephone_number": "760-548-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34764 BIRCH RD",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923117237",
"telephone_number": "760-548-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULLOA",
"first_name": "CORINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-09",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "CA",
"license": "C6556567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.