NPIMap

Individual provider Active NPI

Donald B Fuller, M.D.

  • Radiation Oncology Physician
  • San Diego, CA
National Provider Identifier
1285632711
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G62532 Issued in CA
Practice address
3366 5TH Ave
San Diego, CA 92103-5713
Phone
(619) 230-0400
Fax
(858) 429-7936
NPI assigned
Jul 8, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G62532 CA
Radiation Oncology Physician 2085R0001X G62532 CA Primary

Addresses

Primary practice location

3366 5TH Ave
San Diego, CA 92103-5713

Mailing address

PO Box 33865
San Diego, CA 92163-3865
Phone (858) 888-7700

Other identifiers 2

IdentifierTypeStateIssuer
G62532OtherCASTATE LICENSE
00G625320MedicaidCA

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
I20060830000460 CA Practitioner - Radiation Oncology 1355345547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Washington School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

3366 5TH Ave
San Diego, CA 92103-5713
Phone (619) 230-0400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Radiosurgery Center, a Medical Corporation Radiation Oncology CurrentSince Feb 27, 2024 Accepting new patients
Scripps Health Current Accepting new patients
Genesis Healthcare Partners PC Specialist CurrentSince Feb 2, 2011 Accepting new patients
The Radiation Medical Group Inc Specialist Past Accepting new patients
Scripps Health Past Accepting new patients
Palomar Health Past Accepting new patients
Paradise Valley Hospital Past Accepting new patients
Radiation Medical Group Inc Specialist PastSince Feb 2, 2011 Accepting new patients
North County Radiation Oncology Specialist Past Accepting new patients
Tri-City Hospital Past Accepting new patients
Scripps Health Past Accepting new patients
Rady Children's Hospital San Diego Past Accepting new patients
Radiation Medical Group Inc Specialist Past Accepting new patients

Locations

701 E Grand Ave
Ste 200
Escondido, CA 92025
Phone (760) 839-7370

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

1605 Avocado Ave
Newport Beach, CA 92660
Phone (949) 760-3025

3366 5th Ave
San Diego, CA 92103
Phone (619) 230-0400

3366 5th Ave
Ste 103
San Diego, CA 92103

5395 Ruffin Rd
Ste 103
San Diego, CA 92123
Phone (858) 505-4100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dfuller81024@scrippshlth.medalliesdirect.net
  • Direct secure messaging: donald.fuller.1@3663.direct.athenahealth.com
  • Direct secure messaging: donaldfuller@ghp.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1285632711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33865",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921633865",
            "telephone_number": "858-888-7700",
            "fax_number": "858-888-7721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 5TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035713",
            "telephone_number": "619-230-0400",
            "fax_number": "858-429-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "DONALD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2023-03-07",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G62532",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G62532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G62532",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G625320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.