Karlis Ullis, M.D., a Professional Corporation

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

G20989 Issued in CA

Legal business name

KARLIS ULLIS, M.D., A PROFESSIONAL CORPORATION

Practice address

900 Wilshire Blvd
Suite 425
Santa Monica, CA 90401-1872

Phone

(310) 452-1990

Fax

(310) 452-5134

NPI assigned

Apr 2, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Karlis Conrad Ullis, M.D.

Title

Medical Director

Phone

(310) 452-1990

Specialties & licenses 2

Addresses

Other names 1

• Sports Medicine & Preventive Medical Group Doing business as

Locations

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394150400000",
    "number": "1265674485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WILSHIRE BLVD",
            "address_2": "SUITE 425",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011872",
            "telephone_number": "310-452-1990",
            "fax_number": "310-452-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WILSHIRE BLVD",
            "address_2": "SUITE 425",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011872",
            "telephone_number": "310-452-1990",
            "fax_number": "310-452-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARLIS ULLIS, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2014-03-07",
        "status": "A",
        "authorized_official_last_name": "ULLIS",
        "authorized_official_first_name": "KARLIS",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-452-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "G20989",
            "primary": true
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "CA",
            "license": "G20989",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Medicine & Preventive Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Kardashian, RD
• Sheldon Harvey Kardener, M.D.
• Leila Kay Karimpoor, DO
• Karla G. Iacampo, M.D., Inc.
• Daniel Michael Karlin, M.D.
• Courtney Lisa Karp, PSYD
• Corinne Karr, LMFT
• Marissa Kartub
• Ashley Karubian, LMFT
• Frederick J Karubian, MD

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.