Paige Danielle Fulmer, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

42853 Issued in CA

Practice address

1551 Bishop St Ste 520
San Luis Obispo, CA 93401-4665

Phone

(415) 756-1799

NPI assigned

Jul 21, 2025

Sex

Female

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": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1821980095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST STE 520",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014665",
            "telephone_number": "805-461-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BISHOP ST STE 520",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014665",
            "telephone_number": "415-756-1799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 Morro Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Atascadero",
            "state": "CA",
            "postal_code": "934224142",
            "country_code": "US",
            "telephone_number": "805-461-5212",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULMER",
        "first_name": "PAIGE",
        "middle_name": "DANIELLE",
        "credential": "LPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "42853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karina Fuentes, LMFT 123490
• Charles L Fulbeck, M.D.
• Caitlin E Fuller
• Chad Fuller, MD
• Wilson Steven Fuller
• Laura Christina Fundingsland, PA-C
• G. Kamen Medical Services and Urgent Care on Demand PC
• Erica Gabel
• David Michael Gabriel II
• Mary Katherine Gabriel

• Licensed Psychiatric Technician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.