David G Fuller, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G69104 Issued in CA

Practice address

10468 Saint Andrews CT
Oakdale, CA 95361-7602

Phone

(209) 630-1531

NPI assigned

Jul 3, 2006

Last updated

Jan 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David G Fuller MD a Professional Corporation

  dba David G Fuller MD A Prof Corp

  • Family Medicine Physician
  • Oakdale, CA
  • NPI 1083371934
  Medicare reassignment NPD Authorized official
• Access Wellness Services

  dba Access Wellness Healthcare

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1104393362
  NPD (past)
• Sutter Gould Medical Foundation

  dba Dale Road Care Center

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1326093360
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1033149448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10468 SAINT ANDREWS CT",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953617602",
            "telephone_number": "209-630-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10468 SAINT ANDREWS CT",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953617602",
            "telephone_number": "209-630-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G69104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G691040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Esquivel
• Feeling Heard Family Therapy Professional Corporation (Feeling Heard)
• Dixie Ann Fisher, CNP
• Jennifer Flood
• Florin Vlasie M.D., Inc.
• Nathan Fuller
• Jennifer Anne Garcia, RBT
• Albert Henry Gelders, M.D.
• Brandy Gleason, PMHNP
• Jessica Araceli Gomez, PA-C

• Family Medicine Physician in Oakdale, CA
• Providers in Oakdale, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.