David Fulton Jr.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

116108 Issued in CA

Practice address

5252 Balboa Ave Ste 601a
San Diego, CA 92117-6908

Phone

(858) 224-2945

NPI assigned

Sep 17, 2014

Last updated

Aug 23, 2024By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1457753766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 601A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176908",
            "telephone_number": "858-224-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 601A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176908",
            "telephone_number": "858-224-2945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4406 Park Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92116",
            "country_code": "US",
            "telephone_number": "619-363-4787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4406 Park Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92116",
            "country_code": "US",
            "telephone_number": "619-363-4787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3430 Fifth Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921035019",
            "country_code": "US",
            "telephone_number": "858-224-2945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULTON",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-17",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "116108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Mills Fuller, PA-C
• Nicole Fullerton
• Robert Armand Fullerton III, M.S.
• Tivona M Fullylove
• Elizabeth Wagner Fulp, PA
• Emily Jayne Fulton
• Jacob Fulton, SFIDC
• Juana Fulton, LCSW
• Priscilla Fultz
• Fun Lac

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.