MR. BILLY L FUSON JR. (NPI# 1023334158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023334158 |
| Entity Type | Individual |
| Full Name | MR. BILLY L FUSON JR. |
| Practice Address |
6656 Antigua Blvd San Diego CA 92124 |
| Practice Telephone | 6786441007 |
| Mailing Telephone | 6786441007 |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2015-10-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers | ||
| Y | 1710I1003X |
Military Health Care Provider Specialization: Independent Duty Medical Technicians |
Other Service Providers |
| Street Address |
6656 ANTIGUA BLVD |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780150334 | Paullette Michelle Rosette | Marriage & Family Therapist | 5421 Escarchosa Lane, San Diego, CA 92124 | 2018-10-22 |
| 1699253179 | Laura Lychelle Kime | Behavioral Analyst | 4256 Tambor Ct, San Diego, CA 92124 | 2018-08-06 |
| 1720506850 | Jonathan Jacobs | Military Health Care Provider | 3064 Taussig St, San Diego, CA 92124 | 2017-09-08 |
| 1568856235 | Alvin Nguyen | Student in an Organized Health Care Education/Training Program | 10872 Portobelo Dr., San Diego, CA 92124 | 2015-03-20 |
| 1346552064 | Jeffrey Thomas Gilbert | Military Health Care Provider | 3841 Colina Dorado Dr, Apartment G108, San Diego, CA 92124 | 2010-07-10 |
| 1386866473 | Ephraim J. Tabornal, Dds, Inc. | Dentist | 10850 Baroque Lane, Suite C, San Diego, CA 92124 | 2007-05-02 |
| 1538255245 | Lisa Anne Hazlewood-hunt | Psychologist | 11770 Bernardo Plaza Ct. Suite 260, San Diego, CA 92124 | 2006-10-04 |
| 1740393586 | Brian L Mcdonald | Physical Therapist | 5950 Santo Road, Suite D, San Diego, CA 92124 | 2006-08-16 |
| 1003820614 | Eileen Louise Holman | Social Worker | 6586 Ambrosia Drive, #5204, San Diego, CA 92124 | 2006-07-28 |
| 1063738920 | Amanda Baker Grau | Dentist | 10715 Tierrasanta Blvd, San Diego, CA 92124 | 2010-04-15 |
| Find all providers in zip 92124 | ||||
| Taxonomy Code | 1710I1003X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Medical Technicians |
| An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians. |
| Notes: Source: Air Force Surgeon General Office [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093124398 | Benjamin Ryan Foy | Military Health Care Provider | 2784 Hornet Way, San Diego, CA 92106-6421 | 2014-08-12 |
| 1346552064 | Jeffrey Thomas Gilbert | Military Health Care Provider | 3841 Colina Dorado Dr, Apartment G108, San Diego, CA 92124 | 2010-07-10 |
| 1467674150 | John Dudley Harris Jr. | Military Health Care Provider | 33000 Nixie Way Bldg 50, San Diego, CA 92147-5101 | 2007-05-03 |
| 1730157736 | Alfredo Alcalaesparza | Military Health Care Provider | 2211 Pacific Beach Dr, San Diego, CA 92109-5626 | 2006-03-08 |
| 1447606322 | Jeffrey Tyler Whitson | Military Health Care Provider | 34101 Farenholt Ave, Building 14, San Diego, CA 92134-7000 | 2016-05-10 |
| 1497927404 | Keren Mireya Lemas | Military Health Care Provider | 2450 Craven St, San Diego, CA 92136-5599 | 2008-03-31 |
| 1689873192 | Keith Robert Davis | Military Health Care Provider | 140 Sylvester Rd, Uss Topeka (ssn 754) Fpo Ap 96679-2410, San Diego, CA 92106-3521 | 2007-07-13 |
| 1740481571 | Cindy S Cruzan | Military Health Care Provider | 34101 Farenholt Ave, San Diego, CA 92134-7000 | 2007-05-30 |
| 1932169380 | Shirley Hovlid | Military Health Care Provider | 2650 Stockton Rd, San Diego, CA 92106-6000 | 2006-03-27 |
| 1851368229 | Carlos M. Coleman | Military Health Care Provider | 34101 Farenholt Ave, Nshs-sd Idc Dept, San Diego, CA 92134-7000 | 2006-03-03 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.