STACEY LYNN ULRICH M.D.
NPI 1619049236
Pediatrics - Pediatric Emergency Medicine in San Diego, CA
About Stacey Lynn Ulrich M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY LYNN ULRICH M.D. (NPI 1619049236) is an individual pediatric emergency medicine provider in San Diego, California, licensed in California (A76660) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Stacey Lynn Ulrich M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
SAN DIEGO, CA 92123
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 Stacey Ulrich's NPI number?
The NPI number for Stacey Ulrich is 1619049236. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Stacey Lynn Lueker.
Where is Stacey Ulrich located?
Stacey Ulrich practices at 3020 Childrens Way, San Diego, CA 92123. The listed phone number is (858) 966-8036.
What is Stacey Ulrich's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Stacey Ulrich enrolled in Medicare?
Yes. Stacey Ulrich is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Stacey Ulrich was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Stacey Lynn Ulrich, M.D. · NPI 1619049236
Pediatric Emergency Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1619049236 (Entity type: Individual)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** A76660 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3020 CHILDRENS WAY, San Diego, CA 92123-4223
- **Phone:** (858) 966-8036
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 11, 2025
- **Other identifiers:** Medicaid 00A766600 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1619049236) · Data from the CMS NPPES public registry.