What is Jody Ullom's NPI number?

Jody Ullom's National Provider Identifier (NPI) is 1417916990, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jody Ullom's specialty?

Jody Ullom is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).

Where is Jody Ullom located?

Jody Ullom's practice location on file with NPPES is 1004 Northgate Dr, San Rafael, CA 94903-2502.

What is Jody Ullom's phone number?

The practice phone number listed in the NPPES registry for Jody Ullom is (415) 590-6150.

Is Jody Ullom's NPI active?

Yes — Jody Ullom's NPI (1417916990) is active in the NPPES registry as of the last update on 2016-05-18.

IndividualActive

Jody Ullom, MD

NPI 1417916990 · Pediatrics Physician · San Rafael, CA

Jody Ullom, MD is a Pediatrics Physician provider in San Rafael, CA (NPI 1417916990).

Provider details

NPI number: 1417916990
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Female
Sole proprietor: No
License: G77729 (CA)

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000XLicense G77729 (CA)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1004 Northgate Dr

San Rafael, CA 94903-2502

Phone: (415) 590-6150

Fax: (415) 578-3118

Approximate (ZIP-level) locationGet directions

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Mailing address