Susan L Fullemann, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G51875 Issued in CA

Practice address

1820 Ogden Dr
Suite 200
Burlingame, CA 94010-5384

Phone

(650) 697-7202

Fax

(650) 697-7059

NPI assigned

Aug 11, 2006

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297987200000",
    "number": "1831100965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 OGDEN DR",
            "address_2": "SUITE 200",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940105384",
            "telephone_number": "650-697-7202",
            "fax_number": "650-697-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 OGDEN DR",
            "address_2": "SUITE 200",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940105384",
            "telephone_number": "650-697-7202",
            "fax_number": "650-697-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLEMANN",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Markelle Friedly, M.D.
• Melvin Robert Friedman, D.O.
• Joshua James Froerer, D.D.S.
• Nancy Milena Fuentes Portillo
• Kevin Akira Fukuda, MD
• Julie Fulmer, PHARMD
• Gary Kingman Fung, D.C.
• Kelly Ann Fung, M.D.
• Lenora Verne Fung, MD
• Jennifer Funk, M.D.

• Family Medicine Physician in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.