Individual provider

Fernando Ulloa, M.D.

Pediatric Adolescent Medicine Physician

Fernando Ulloa, M.D. is a Pediatric Adolescent Medicine Physician in San Rafael, CA, registered under NPI 1124140686. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 711 D ST SUITE 113, San Rafael, CA 94901. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

711 D ST SUITE 113, San Rafael, CA 94901 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
G49903 CA Pediatric Adolescent Medicine Physician primary

This provider holds licence G49903 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Adolescent Medicine covers

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NUCC Health Care Provider Taxonomy, code 2080A0000X
Allopathic & Osteopathic Physicians Pediatrics Adolescent Medicine

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1124140686 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateApr 4, 2007
Last updatedJul 8, 2007
StatusActive
Sole proprietorYes
CredentialM.D.
Practice address 711 D ST
SUITE 113
San Rafael, CA 94901
(415) 454-4100
Mailing address PO BOX 1938
Mill Valley, CA 94942
Other identifiers 00G49903 (CA)
This record was last updated on Jul 8, 2007, roughly 19 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1124140686 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 2 4 1 4 0 6 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 4 4 2 4 0 6 7

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1124140686?
NPI 1124140686 is the National Provider Identifier assigned to Fernando Ulloa, M.D. in San Rafael, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Adolescent Medicine cover?
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
How do I contact Fernando Ulloa, M.D.?
The phone number on file with NPPES is (415) 454-4100, last updated Jul 8, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1124140686 a valid number?
Yes. 1124140686 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.