Garrett Edwin Foulke, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G39817 Issued in CA

Practice address

4370 La Jolla Village Dr
Suite 700
San Diego, CA 92122-1249

Phone

(858) 587-5318

NPI assigned

Mar 27, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1376819011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "773 ALTA VISTA WAY",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934205102",
            "telephone_number": "858-354-8686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4370 LA JOLLA VILLAGE DR",
            "address_2": "SUITE 700",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221249",
            "telephone_number": "858-587-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOULKE",
        "first_name": "GARRETT",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-27",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G39817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Foster
• Jennifer Foti, DO
• Dallas Fotinos
• Laury Foucal
• Madelyn Foulk, PT, DPT
• Fountains la Jolla SL, LLC (The Springs at Pacific Regent)
• Four Seasons Sisterhood Licensed Marrriage and Family Therapy, Inc
• Chrystal Marie Fournier, N.P.
• Raelyn Ritchie Fournier, PA-C
• Diana Foust, NP-C

• Pulmonary Disease Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.