Active NPI
Ashley M Fuller, RD
- Registered Dietitian
- Los Gatos, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86039166
- Practice address
- 14651 S Bascom Ave Ste 110
Los Gatos, CA 95032-2004 - Phone
- (408) 358-3573
- NPI assigned
- Oct 11, 2018
- Last updated
- Mar 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 7928390 | ||
| Registered Dietitian | 133V00000X | 86039166 | Primary |
Addresses
Primary practice location
14651 S Bascom Ave Ste 110
Los Gatos, CA 95032-2004
Mailing address
14651 S Bascom Ave Ste 110
Los Gatos, CA 95032-2004
Phone (408) 358-3573
Other practice location 1
750 Welch Rd Ste 214
Palo Alto, CA 94304-1509
Phone (650) 497-8000
Other practice location 2
750 Welch Rd
Palo Alto, CA 94304-1507
Phone (650) 497-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
dba Lucile Salter Packard Children's Hospital at Stanford
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1356816755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14651 S BASCOM AVE STE 110",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322004",
"telephone_number": "408-358-3573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14651 S BASCOM AVE STE 110",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950322004",
"telephone_number": "408-358-3573"
}
],
"practiceLocations": [
{
"address_1": "750 Welch Rd Ste 214",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041509",
"country_code": "US",
"telephone_number": "650-497-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 Welch Rd",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041507",
"country_code": "US",
"telephone_number": "650-497-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULLER",
"first_name": "ASHLEY",
"middle_name": "M",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-11",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": null,
"license": "7928390",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": "86039166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.