Active NPI
Ulin Sargeant, M.D., MPH
- Internal Medicine Physician
- Duarte, CA
National Provider Identifier
1992878151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A97256
- Practice address
- 1227 Buena Vista St
Suite #F
Duarte, CA 91010-2486 - Phone
- (877) 254-4496
- Fax
- (877) 254-4496
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | A97256 | CA | |
| General Practice Physician | 208D00000X | A97256 | CA | |
| Internal Medicine Physician | 207R00000X | A97256 | CA | Primary |
Addresses
Primary practice location
1227 Buena Vista St
Suite #F
Duarte, CA 91010-2486
Mailing address
PO Box 2063
Monrovia, CA 91017-6063
Phone (877) 254-4496
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EAP70768F | Medicaid | CA | |
| HAP70768F | Medicaid | CA | |
| CMM70768F | Medicaid | CA | |
| FHC70768F | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Temple University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1227 Buena Vista St
Suite F
Duarte, CA 91010-2486
Phone (877) 254-4496
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97256 | CA | MD | Public Health & General Preventive Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Modryn Practice, Professional Corporation | Internal Medicine | Current | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Duarte, CA
- NPI 1407291347
-
- Internal Medicine Physician
- Duarte, CA
- NPI 1962216887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729123200000",
"number": "1992878151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2063",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910176063",
"telephone_number": "877-254-4496",
"fax_number": "877-254-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 BUENA VISTA ST",
"address_2": "SUITE #F",
"city": "DUARTE",
"state": "CA",
"postal_code": "910102486",
"telephone_number": "877-254-4496",
"fax_number": "877-254-4496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARGEANT",
"first_name": "ULIN",
"name_prefix": "Dr.",
"credential": "M.D., MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "CA",
"license": "A97256",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A97256",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A97256",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EAP70768F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HAP70768F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CMM70768F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70768F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Duarte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.