MRS. SARA JUDITH ULLOM LMFT
NPI 1154664795
Marriage & Family Therapist in San Diego, CA
About Mrs. Sara Judith Ullom Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SARA JUDITH ULLOM LMFT (NPI 1154664795) is an individual marriage & family therapist in San Diego, California, licensed in California (101848) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Sara Judith Ullom Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Sara Ullom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsdale, AZ 85253
- Reassigned Medicare billing, California enrollment
- 766 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92127
SAN DIEGO, CA 92127
SAN DIEGO, CA 92127
SAN DIEGO, CA 92127
SAN DIEGO, CA 92127
SAN DIEGO, CA 92127
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sara Ullom's NPI number?
The NPI number for Sara Ullom is 1154664795. It was assigned to this individual provider in the NPPES registry on April 2, 2013. The provider is also known as Sara Ullom Sara Ullom.
Where is Sara Ullom located?
Sara Ullom practices at 10815 Rancho Bernardo Rd Ste 380, San Diego, CA 92127. The listed phone number is (858) 279-1223.
What is Sara Ullom's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Sara Ullom enrolled in Medicare?
Yes. Sara Ullom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Sara Ullom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sara Ullom reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sara Ullom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Sara Ullom was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Sara Judith Ullom, LMFT · NPI 1154664795
Marriage & Family Therapist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since April 2, 2013.
## Identity
- **NPI:** 1154664795 (Entity type: Individual)
- **Enumerated:** April 2, 2013
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 101848 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10815 RANCHO BERNARDO RD STE 380, San Diego, CA 92127-5724
- **Phone:** (858) 279-1223
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Pacific Coast Psychiatric Associates Inc (NPI 1023125465, Scottsdale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** April 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154664795) · Data from the CMS NPPES public registry.