Robyn L Fuller, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA17873 Issued in CA

Practice address

67555 E Palm Canyon Dr Ste C113
Cathedral City, CA 92234-5412

Phone

(760) 770-1277

Fax

(760) 328-2191

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Indio, CA
  • NPI 1114624665
  NPD
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Cathedral City, CA
  • NPI 1629384615
  NPD
• Eisenhower Medical Center

  dba Eisenhower Health

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)
• James S Manion, MD, Inc

  dba Eisenhower Immediate Care Center

  • Urgent Care Clinic/Center
  • La Quinta, CA
  • NPI 1518991470
  NPD (past)
• James S Manion, MD, Inc

  dba Eisenhower Immediate Care Center

  • Urgent Care Clinic/Center
  • Cathedral City, CA
  • NPI 1649204595
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1851310494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67555 E PALM CANYON DR STE C113",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345412",
            "telephone_number": "760-770-1277",
            "fax_number": "760-328-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67555 E PALM CANYON DR STE C113",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922345412",
            "telephone_number": "760-770-1277",
            "fax_number": "760-328-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "ROBYN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA17873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stewart Barry Fleishman, MD
• Consuelo Medina Flores
• Loretta Soledad Flores, ED.S.
• Renata Gabrielle Flores I
• Four Lions Dental Corporation
• Valerie Fury
• Elizabeth Carbajal Gallegos, NP
• Leonard Merlin Galloway, MPT
• Andrea Gaona
• Leandro R Garcia Gallegos

• Medical Physician Assistant in Cathedral City, CA
• Providers in Cathedral City, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.