DOUGLAS KENT ULMER MD NPI 1225068984

NPI Information

  • NPI: 1225068984
  • Provider Name: DOUGLAS KENT ULMER, MD
  • Classification: Dermatology - 207N00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 05D0554824
  • Address: 1045 ATLANTIC AVE STE 819
    LONG BEACH, CA
    ZIP 90813
  • Phone: (562) 435-5621

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NPI Details

Douglas Kent Ulmer, MD is a dermatology in Long Beach, CA. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Douglas Kent Ulmer, MD NPI is 1225068984. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1045 ATLANTIC AVE STE 819
LONG BEACH, CA
ZIP 90813-410
Phone: (562) 435-5621
Fax: (562) 437-3121

The NPI 1225068984 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 05D0554824 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Superficial and/or low voltage radiation treatment delivery (HCPCS:77401)
  • Destruction of skin growth, 15 or more growths (HCPCS:17111)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection into skin growth, more than 7 growths (HCPCS:11901)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm (HCPCS:11441)
  • Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11442)
  • Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11422)
  • Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11403)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Destruction of birthmark, 10.0-50.0 sq cm (HCPCS:17107)
  • Destruction of birthmark, less than 10.0 sq cm (HCPCS:17106)
  • Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm (HCPCS:11401)
  • Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) (HCPCS:J7308)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Application of light to destroy precancer skin growth (HCPCS:96567)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11622)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:11421)
  • Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm (HCPCS:11423)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less (HCPCS:11440)
  • Removal of noncancer skin growth of body, arms, or legs, 3.1-4.0 cm (HCPCS:11404)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less (HCPCS:12031)

The enumeration date for this NPI number is 7/5/2006 and was last updated on 9/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyA24825CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A248250MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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