Active NPI
Hugh P.Fulmer MD.,Inc
- Specialist
- Lynwood, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A41467
- Legal business name
- HUGH P.FULMER MD.,INC
- Practice address
- 3628 E Imperial Hwy
Suite 100
Lynwood, CA 90262-2643 - Phone
- (310) 605-0128
- NPI assigned
- Jul 11, 2007
- Last updated
- Jul 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hugh P Fulmer, M.D.
- Title
- President
- Phone
- (310) 605-0128
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A41467 | CA | Primary |
Addresses
Primary practice location
3628 E Imperial Hwy
Suite 100
Lynwood, CA 90262-2643
Mailing address
3628 E Imperial Hwy
Suite 100
Lynwood, CA 90262-2643
Phone (310) 605-0128
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073689832 | Other | CA | TYPE 1 NPI |
Other names 1
- HUGH P FULMER, M.D.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Hugh P Fulmer MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Lynwood, CA
- NPI 1154520005
Locations
3628 E Imperial Hwy
Ste 100
Lynwood, CA 90262
Phone (310) 605-0128
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Infectious Disease Physician
- Lynwood, CA
- NPI 1073689832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184112000000",
"number": "1669671640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3628 E IMPERIAL HWY",
"address_2": "SUITE 100",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622643",
"telephone_number": "310-605-0128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3628 E IMPERIAL HWY",
"address_2": "SUITE 100",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622643",
"telephone_number": "310-605-0128"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUGH P.FULMER MD.,INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-11",
"last_updated": "2007-07-11",
"status": "A",
"authorized_official_last_name": "FULMER",
"authorized_official_first_name": "HUGH",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-605-0128",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A41467",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI",
"identifier": "1073689832",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HUGH P FULMER, M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.