Active NPI
Dennis Ulep
- Acute Care Nurse Practitioner
- Mission Viejo, CA
National Provider Identifier
1336601715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 95011020
- Practice address
- 27700 Medical Center Rd
Mission Viejo, CA 92691-6426 - Phone
- (949) 364-1400
- NPI assigned
- Apr 3, 2019
- Last updated
- Apr 3, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 95011020 | CA | Primary |
Addresses
Primary practice location
27700 Medical Center Rd
Mission Viejo, CA 92691-6426
Mailing address
149 Acamar
Irvine, CA 92618-1054
Phone (949) 584-9632
Other practice location 1
27700 Medical Center Rd
Mission Viejo, CA 92691-6426
Phone (949) 365-1400
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: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241219003483 | CA | Order and Referring Only - Nurse Practitioner | 1850828419 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95011020 | CA | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1336601715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 ACAMAR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926181054",
"telephone_number": "949-584-9632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27700 MEDICAL CENTER RD",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916426",
"telephone_number": "949-364-1400"
}
],
"practiceLocations": [
{
"address_1": "27700 Medical Center Rd",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "926916426",
"country_code": "US",
"telephone_number": "949-365-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ULEP",
"first_name": "DENNIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-03",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "95011020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
- Deanna Sese Tytus, LVN
- Brian Tzung, M.D.
- Chinyere Juliet Udonsi, O.D.
- Lauren Midori Ujihara, PHARM.D.
- Richard Ulene, M.D.
- Kyle Louis Ulrich, PT, DPT
- Amy L Underwood-Jolly, M.D.
- United Medical Imaging Healthcare, Inc. (Minoo Heikali Women's Center of Mission Viejo)
- United Medical Imaging Healthcare, Inc. (United Medical Imaging of Mission Viejo)
- University Diagnotics, Inc. (Orange County Diagnostics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.