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

Dr. Fernando Ulloa, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1124140686

Dr. Fernando Ulloa, MD is a Pediatric Adolescent Medicine Physician in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

711 D St Ste 113
San Rafael, CA 94901-3707
Phone: (415) 454-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence G49903 (CA)

Record details

NPI number1124140686
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 4, 2007
Last updated in NPPESJuly 8, 2007
Mailing addressPo Box 1938, Mill Valley, CA 94942-1938