Individual provider Active NPI

Ulemj Dugarnyam, PA

  • Physician Assistant
  • Fountain Valley, CA
National Provider Identifier
1487423471
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA63672 Issued in CA
Practice address
8700 Warner Ave Ste 140
Fountain Valley, CA 92708-3209
Phone
(714) 850-7300
NPI assigned
Jan 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA63672 CA Primary

Addresses

Primary practice location

8700 Warner Ave Ste 140
Fountain Valley, CA 92708-3209

Mailing address

8700 Warner Ave Ste 140
Fountain Valley, CA 92708-3209

Other names 1

  • Chimedlkham Soyolsaikhan Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123002282 CA Practitioner - Physician Assistant 2264884568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OrthowestGroup PAC ID 3072932623, 48 clinicians

Practice addresses (Care Compare)

22 Odyssey
Suite 205
Irvine, CA 92618-3197
Phone (949) 586-3200

Hospital & facility affiliations

  • Memorialcare Orange Coast Medical Center Hospital, Fountain Valley, CA, CCN 050678

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63672CAMDGeneral Practice Dentistry
PA63672CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthowest Physician Assistant CurrentSince Jan 15, 2024 Accepting new patients
Orthowest Past Accepting new patients

Locations

8700 Warner Ave
Ste 140
Fountain Vly, CA 92708
Phone (714) 847-6727

22 Odyssey
Ste 205
Irvine, CA 92618
Phone (949) 870-3332

24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637
Phone (949) 767-0800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: udugarnyam849729@direct.memorialcare.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1487423471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 WARNER AVE STE 140",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 WARNER AVE STE 140",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927083209",
            "telephone_number": "714-850-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGARNYAM",
        "first_name": "ULEMJ",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIMEDLKHAM",
            "last_name": "SOYOLSAIKHAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.