Jerron Paul Fuller

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

3841 N Freeway Blvd Ste 245
Sacramento, CA 95834-1969

Phone

(916) 441-0226

NPI assigned

Sep 2, 2025

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1437039484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3841 N FREEWAY BLVD STE 245",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 N FREEWAY BLVD STE 245",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341969",
            "telephone_number": "916-441-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "JERRON",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Wayne Fuller Jr., LCSW
• Chesa Latrese Fuller
• Elizabeth Ann Fuller
• Elizabeth Ashley Fuller, PHD, BCBA
• Janai Fuller
• Orlando Maurice Fuller Jr.
• Ryan Mathew Fuller, M.D.
• Scott C Fuller, MD
• Samantha M Fullerton, BCBA
• Brian Fullgraf

• Adult Companion in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Adult Companion in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.