Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jody Lynn Ullom, MD

Q: What is the NPI number for Jody Ullom?

The National Provider Identifier (NPI) for Jody Ullom is 1417916990, a Type 1 (individual) record in the CMS NPPES registry.

Pediatrics Physician in San Rafael, CA · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417916990

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Registry record

Entity type Individual (Type 1)

Name Jody Lynn Ullom

Credential MD

Sex Female

Practice address 1004 Northgate Dr, San Rafael, CA, 94903

Phone (415) 590-6150

Fax (415) 578-3118

Enumeration date Mar 22, 2006

Last updated in NPPES May 18, 2016

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License G77729 (CA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Jody Ullom?

The National Provider Identifier (NPI) for Jody Ullom is 1417916990, a Type 1 (individual) record in the CMS NPPES registry.

Where does Jody Ullom practice?

The practice location on file with NPPES is in San Rafael, CA. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-05-18.