1. Home
  2. Directory
  3. California
  4. Redwood City
  5. Plastic Surgery
  6. NPI Profile

DEREK DANIEL ULVILA
NPI 1215254750
Plastic Surgery in Redwood City, CA

Active since April 23, 2010PECOS Enrolled
133 ARCH ST STE 4, REDWOOD CITY, CA 94062(347) 770-5891(314) 528-9061 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2021, Nov 2, 2018, Aug 3, 2018 (3 updates tracked since 2018).

About Derek Daniel Ulvila NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK DANIEL ULVILA (NPI 1215254750) is an individual plastic surgery provider in Redwood City, California, licensed in California (A119052) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215254750
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDEREK DANIEL ULVILA
Location Address133 ARCH ST STE 4Redwood City, CA 94062-1326
Mailing Address133 Arch St Ste 4Redwood City, CA 94062-1326 · (347) 770-5891 · Fax (314) 528-9061
Phone(347) 770-5891
Fax(314) 528-9061
Sole ProprietorNo
Enumeration DateApril 23, 2010
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
✔ NPI 1215254750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in CA · A119052
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
133 ARCH ST STE 4, Redwood City, CA 94062
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Daniel Ulvila is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Derek Ulvila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
0.8 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEOKJOON PANG D.D.S
Dentist
133 ARCH ST STE 4
REDWOOD CITY, CA 94062
San Mateo County (650) 549-1155
DR. PRATIBHA VEGULLA DDS
Dentist (General Practice)
133 ARCH ST STE 4
REDWOOD CITY, CA 94062
San Mateo County (650) 299-9990
DR. PRATIBHA VEGULLA DDS
Clinic/Center (Dental)
133 ARCH ST STE 4
REDWOOD CITY, CA 94062
San Mateo County (650) 299-9990
GOLDEN COAST PLASTIC SURGERY, PC
Plastic Surgery
133 ARCH ST STE 4
REDWOOD CITY, CA 94062
San Mateo County (347) 770-5891

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 Derek Ulvila's NPI number?

The NPI number for Derek Ulvila is 1215254750. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Derek Ulvila located?

Derek Ulvila practices at 133 Arch St Ste 4, Redwood City, CA 94062. The listed phone number is (347) 770-5891.

What is Derek Ulvila's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Derek Ulvila enrolled in Medicare?

Yes. Derek Ulvila is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Derek Ulvila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Ulvila reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). 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 Derek Ulvila'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 Derek Ulvila was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.