Adam Joshua Fuller, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

14009 Issued in CA

Practice address

5005 Texas St Ste 101
San Diego, CA 92108-3722

Phone

(619) 518-4222

NPI assigned

Apr 8, 2011

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

State licenses

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561766400000",
    "number": "1386934669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 TEXAS ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083722",
            "telephone_number": "619-518-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 TEXAS ST STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083722",
            "telephone_number": "619-518-4222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3446 Park Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921035209",
            "country_code": "US",
            "telephone_number": "619-795-4422",
            "fax_number": "619-795-4423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ADAM",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-08",
        "last_updated": "2019-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "14009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle K Fulks, LMFT
• Full Attention Movement and Bodywork LLC
• Full Send Logistics LLC
• Full Service Mobile Lab Co
• Charles O Fullenwider, M.D.
• Brian K Fuller
• Brigitte Fuller
• Daniel Winston Fuller, AMFT
• Donald B Fuller, M.D.
• Emily Ann Nicole Fuller

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2019; 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.