Joel Andrew Fulkerson, DO

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

0102203655 Issued in VA

Practice address

BLDG 22190
Camp Pendleton, CA 92058-2111

Phone

(760) 725-2969

NPI assigned

Feb 7, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1144592098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BURROWS CT",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920588363",
            "telephone_number": "623-225-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 22190",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "920582111",
            "telephone_number": "760-725-2969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULKERSON",
        "first_name": "JOEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-07",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "VA",
            "license": "0102203655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda O. Folsom, PH.D.
• Jeannette Fonseca, PNP
• Michael Francom
• Eileen Therese Free, BSN, RN,PHN,CCM
• Izhak Fridman, M.D.
• Lesley Michele Fung, FNP
• Anthony Russo Gagne, DO
• Gary Tobias Galicinao
• Patrick J Gallaher, IDC
• Joe Gallardo III, IDC

• Aerospace Medicine Physician in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Aerospace Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.