Individual provider Active NPI

Yadira R. Ulrey, P.A.

  • Physician Assistant
  • El Cajon, CA
National Provider Identifier
1679792733
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
18231 Issued in CA
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

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
18231OtherCALICENCE #

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18231CAMDSpeech-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

Verify at the official NPI Registry.