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BRIANDA ULLOA
NPI 1770188468
Physician Assistant in Rancho Cucamonga, CA

Active since December 01, 2020PECOS Enrolled
9170 HAVEN AVE STE 120, RANCHO CUCAMONGA, CA 91730(909) 476-8700 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2024, Jul 27, 2021, Dec 1, 2020 (3 updates tracked since 2020).

About Brianda Ulloa NPPES

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

BRIANDA ULLOA (NPI 1770188468) is an individual physician assistant in Rancho Cucamonga, California, licensed in California (58807) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770188468
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRIANDA ULLOA
Location Address9170 HAVEN AVE STE 120Rancho Cucamonga, CA 91730-5416
Mailing Address9170 Haven Ave Ste 120Rancho Cucamonga, CA 91730-5416
Phone(909) 476-8700
Sole ProprietorNo
Enumeration DateDecember 1, 2020
Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1770188468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 58807
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9170 HAVEN AVE STE 120, Rancho Cucamonga, CA 91730
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brianda Ulloa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91730 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers18 claims37 services$6.21 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers53 claims53 services$187.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KAVOOS CAMERON NAZERI M.D.
Internal Medicine (Rheumatology)
9170 HAVEN AVE STE 120
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 466-0550
CHAPARRAL MEDICAL GROUP INC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
9170 HAVEN AVE STE 120
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 476-8700
NANCY SI JIA MENG NP-C
Nurse Practitioner (Family)
9170 HAVEN AVE STE 120
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 476-8700
CHARLAINE IDA WILLIAMSON NP
Nurse Practitioner (Family)
9170 HAVEN AVE STE 120
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 476-8700

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 Brianda Ulloa's NPI number?

The NPI number for Brianda Ulloa is 1770188468. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Brianda Ulloa located?

Brianda Ulloa practices at 9170 Haven Ave Ste 120, Rancho Cucamonga, CA 91730. The listed phone number is (909) 476-8700.

What is Brianda Ulloa's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brianda Ulloa enrolled in Medicare?

Yes. Brianda Ulloa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brianda Ulloa was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.