Individual provider Active NPI

Monica Iliana Ullo, RN,BSN MSN RNFA

  • Registered Nurse First Assistant
  • Los Angeles, CA
National Provider Identifier
1962307801
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
95363676 Issued in CA
Practice address
12042 Lamanda St Apt 2
Los Angeles, CA 90066-5361
Phone
(310) 869-9529
Fax
(310) 869-9529
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 95363676 CA Primary

Addresses

Primary practice location

12042 Lamanda St Apt 2
Los Angeles, CA 90066-5361

Mailing address

12042 Lamanda St Apt 2
Los Angeles, CA 90066-5361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1962307801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12042 LAMANDA ST APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12042 LAMANDA ST APT 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665361",
            "telephone_number": "310-869-9529",
            "fax_number": "310-869-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLO",
        "first_name": "MONICA",
        "middle_name": "ILIANA",
        "name_prefix": "Mrs.",
        "credential": "RN,BSN MSN RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "95363676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.