NPIMap

Individual provider Active NPI

Christian James Fulmer, DO

  • Family Medicine Physician
  • Campbell, CA
National Provider Identifier
1285624650
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A9099 Issued in CA
Practice address
50 E Hamilton Ave
Suite 120
Campbell, CA 95008-0259
Phone
(408) 995-5453
Fax
(408) 275-9442
NPI assigned
Oct 26, 2005
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 20A9099 CA
Family Medicine Physician 207Q00000X 20A9099 CA Primary

Addresses

Primary practice location

50 E Hamilton Ave
Suite 120
Campbell, CA 95008-0259

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080318000692 CA Practitioner - Family PracticePractitioner - Sports Medicine 7012091069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

50 E Hamilton Ave
Suite 120
Campbell, CA 95008-0251
Phone (408) 357-1410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9099CAMDFamily Medicine Physician
9099CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care CurrentSince Sep 11, 2017 Accepting new patients
Stanford Health Care Current Accepting new patients
Stanford Health Care CurrentSince Sep 11, 2017 Accepting new patients
University Healthcare Alliance CurrentSince Oct 1, 2015 Accepting new patients
County of Santa Clara Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Affinity Medical Group Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 120
Campbell, CA 95008
Phone (408) 357-1410

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

14251 Winchester Blvd
#200
Los Gatos, CA 95032
Phone (408) 426-5540

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

2410 Samaritan Dr
Ste 201
San Jose, CA 95124
Phone (408) 371-9010

455 Oconnor Dr
Ste 210
San Jose, CA 95128
Phone (408) 995-5453

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: cfulmer125674@santaclaravalley.direct-ci.net
  • Direct secure messaging: cfulmer143023@direct.stanfordhealthcare.org

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1285624650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E HAMILTON AVE",
            "address_2": "SUITE 120",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950080259",
            "telephone_number": "408-995-5453",
            "fax_number": "408-275-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULMER",
        "first_name": "CHRISTIAN",
        "middle_name": "JAMES",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A9099",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.