Cynthia Ulm, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP17294 Issued in CA

Practice address

4972 W Pico Blvd Ste 201
Los Angeles, CA 90019-4200

Phone

(323) 525-2500

NPI assigned

Aug 5, 2008

Last updated

Feb 14, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Avalon Family Medical Group Inc

  • Internal Medicine Physician
  • Wilmington, CA
  • NPI 1114048857
  NPD (past)
• Salud Digna, Inc.

  • Primary Care Clinic/Center
  • Huntington Park, CA
  • NPI 1861758492
  NPD (past)

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329177600000",
    "number": "1710143078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4972 W PICO BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194200",
            "telephone_number": "323-525-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4972 W PICO BLVD STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900194200",
            "telephone_number": "323-525-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULM",
        "first_name": "CYNTHIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2012-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP17294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "NP17294",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesus Ulloa
• Jesus Gildardo Ulloa, M.D.
• Lissette Ulloa, PMHNP
• Morgan Ulloa, M.D.
• Sandra G Ulloa, RN
• Claudiu Ulmeanu
• Brycen Ulrich
• Jessica Ulrich
• Ultimate Care Acupuncture & Herbs Center, Inc.
• Ultimate Care Health Care

• Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.

Verify at the official NPI Registry.