Active NPI
Nicholas Ulrich
- Specialist
- Santa Monica, CA
National Provider Identifier
1992054464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 39282
- Practice address
- 1821 Wilshire Blvd Ste 400
Santa Monica, CA 90403-5679 - Phone
- (310) 828-2188
- NPI assigned
- Aug 30, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 39282 | CA | Primary |
Addresses
Primary practice location
1821 Wilshire Blvd Ste 400
Santa Monica, CA 90403-5679
Mailing address
1251 14TH St Apt 112
Santa Monica, CA 90404-1024
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346284800000",
"number": "1992054464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 14TH ST APT 112",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904041024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 WILSHIRE BLVD STE 400",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035679",
"telephone_number": "310-828-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULRICH",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-30",
"last_updated": "2012-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "39282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.