Dr Fernando Ulloa, MD - Pediatrics in San Rafael, CA

Dr Fernando Ulloa, MD is a Pediatrics - Adolescent Medicine physician based in San Rafael, California. Dr Fernando Ulloa is licensed to practice in California (license number G49903) and his current practice location is 711 D St, Suite 113, San Rafael, California. He can be reached at his office (for appointments etc.) via phone at (415) 454-4100.

NPI number for Dr Fernando Ulloa is 1124140686 and his current mailing address is Po Box 1938, Mill Valley, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124140686.

Contact Information

Dr Fernando Ulloa, MD
711 D St, Suite 113,
San Rafael, CA 94901-3707
(415) 454-4100
Not Available

Map and Direction




Physician's Profile

Full NameDr Fernando Ulloa
GenderMale
SpecialityPediatrics - Adolescent Medicine
Location711 D St, San Rafael, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124140686
  • Provider Enumeration Date: 04/04/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Fernando Ulloa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124140686NPI-NPPES
00G49903MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine G49903 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Fernando Ulloa is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Fernando Ulloa, MD
Po Box 1938,
Mill Valley, CA 94942-1938

Ph: (415) 454-4100
Dr Fernando Ulloa, MD
711 D St, Suite 113,
San Rafael, CA 94901-3707

Ph: (415) 454-4100

Reviews and Comments


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