Active NPI
Fulton Lipscomb, M.D.
- Family Medicine Physician
- Mather, CA
National Provider Identifier
1649259649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A26285
- Practice address
- 10535 Hospital Way
Sacramento VA Medical Center
Mather, CA 95655-4200 - Phone
- (916) 366-5406
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A26285 | CA | Primary |
Addresses
Primary practice location
10535 Hospital Way
Sacramento VA Medical Center
Mather, CA 95655-4200
Mailing address
6456 Matheny Way
Citrus Heights, CA 95621-4839
Phone (916) 969-4727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1649259649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6456 MATHENY WAY",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956214839",
"telephone_number": "916-969-4727",
"fax_number": "916-969-4727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10535 HOSPITAL WAY",
"address_2": "SACRAMENTO VA MEDICAL CENTER",
"city": "MATHER",
"state": "CA",
"postal_code": "956554200",
"telephone_number": "916-366-5406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIPSCOMB",
"first_name": "FULTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A26285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mather, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.