Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ashmi Shyam Ullal

Individual provider Family Medicine Physician · NPI 1073803722

Ashmi Shyam Ullal is an Obstetrics/Gynecology in Santa Rosa, California. Graduated from University of California, Davis School of Medicine in 2013, 13 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and works from 2 locations. Licensed in California.

Years since qualifying
13
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2011
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Practice location Address checks out

1701 4th St Ste 120
Santa Rosa, CA 95404-3661
Phone: (707) 523-7025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5900 State Farm Dr, Rohnert Park, CA 94928-2149 — (707) 577-7500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A133351 (CA)

Record details

NPI number1073803722
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 14, 2011
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Also practisesFAMILY PRACTICE
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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