Candace Cargill-Fuller, CADC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

590 W 8TH St
San Pedro, CA 90731-3120

Phone

(310) 704-1336

Fax

(562) 599-6134

NPI assigned

Aug 31, 2015

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Behavioral Health Services

  • Case Management Agency
  • San Pedro, CA
  • NPI 1922451780
  NPD (past)
• Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • San Pedro, CA
  • NPI 1801147731
  NPD (past)

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440979200000",
    "number": "1962879452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W 8TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313120",
            "telephone_number": "310-704-1336",
            "fax_number": "562-599-6134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 W 8TH ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907313120",
            "telephone_number": "310-704-1336",
            "fax_number": "562-599-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARGILL-FULLER",
        "first_name": "CANDACE",
        "credential": "CADC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celina Caovan, PT, DPT
• Sharonda Capers
• Carmen C Capodanno, M.D.
• Divina Capote
• Ma Karim Carbajal
• Caring Angels Home Care LLC
• Carmen Capodann MD Inc
• Daniel John Carr
• Tyler Edison Carter, MSW
• Leonard Henry Casillas, LMFT

• Addiction (Substance Use Disorder) Counselor in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.