Organization Active NPI

Fusion Health Apc

  • Nurse Practitioner
  • Stockton, CA
National Provider Identifier
1912748252
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
FUSION HEALTH APC
Practice address
2087 Grand Canal Blvd Ste 12
Stockton, CA 95207-6651
Phone
(209) 888-8602
Fax
(209) 888-8603
NPI assigned
Jun 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert John Shapiro, DCNPI 1033113410
Title
Cfo
Phone
(209) 888-8602

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NS0005X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

2087 Grand Canal Blvd Ste 12
Stockton, CA 95207-6651

Mailing address

2087 Grand Canal Blvd Ste 12
Stockton, CA 95207-6651
Phone (209) 888-8602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250611003577 CA Part B Supplier - Clinic/Group Practice 0244753564 Receives reassigned benefits from 2 practitioners
Practice locations: Stockton, CA

National Provider Directory

National Provider Directory

Locations

2087 Grand Canal Blvd
Ste 12
Stockton, CA 95207
Phone (209) 888-8602

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1912748252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2087 GRAND CANAL BLVD STE 12",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076651",
            "telephone_number": "209-888-8602",
            "fax_number": "209-888-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2087 GRAND CANAL BLVD STE 12",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076651",
            "telephone_number": "209-888-8602",
            "fax_number": "209-888-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUSION HEALTH APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "209-888-8602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.

Verify at the official NPI Registry.