Stephen Y Fullmer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC14041 Issued in CA

Practice address

305 Orange Ave
Suite F
Huntington Beach, CA 92648-5100

Phone

(714) 960-8451

Fax

(714) 962-6437

NPI assigned

Apr 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821213885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 ORANGE AVE",
            "address_2": "SUITE F",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485100",
            "telephone_number": "714-960-8451",
            "fax_number": "714-962-6437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ORANGE AVE",
            "address_2": "SUITE F",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926485100",
            "telephone_number": "714-960-8451",
            "fax_number": "714-962-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLMER",
        "first_name": "STEPHEN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Rose Fullam, OD
• Jesse Andrew Fullen, BCBA
• Keirstin Fuller
• Morena Fuller
• Fullerton Orthopaedic Surgery Medical Group, Inc.
• Functional Restoration Medical Center, Inc, (Sina Imaging)
• Larry Furry, PTA
• Futures Unwalled
• Fyziogym Physical Therapy of California Corp
• Gabriela Waring

• Chiropractor in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.