Active NPI
Yadira R. Ulrey, P.A.
- Physician Assistant
- El Cajon, CA
National Provider Identifier
1679792733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 18231
- Practice address
- 165 S 1St St
El Cajon, CA 92019-4795 - Phone
- (619) 409-9999
- Fax
- (619) 409-9905
- NPI assigned
- Apr 25, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 18231 | CA | Primary |
| Internal Medicine Physician | 207R00000X | 18231 | CA |
Addresses
Primary practice location
165 S 1St St
El Cajon, CA 92019-4795
Mailing address
165 S 1St St
El Cajon, CA 92019-4795
Phone (619) 409-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18231 | Other | CA | LICENCE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18231 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619136000000",
"number": "1679792733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 S 1ST ST",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920194795",
"telephone_number": "619-409-9999",
"fax_number": "619-409-9905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 S 1ST ST",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920194795",
"telephone_number": "619-409-9999",
"fax_number": "619-409-9905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULREY",
"first_name": "YADIRA",
"middle_name": "R.",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2021-04-23",
"certification_date": "2021-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "18231",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "18231",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE #",
"identifier": "18231",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.