GARY M FULLER (NPI# 1073669495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073669495 |
| Entity Type | Individual |
| Full Name | GARY M FULLER |
| Credential | RNFA |
| Practice Address |
351 Hearst Ave San Francisco CA 94112-1348 |
| Practice Telephone | 4152722203 |
| Mailing Telephone | 4152722203 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2017-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SM0705X |
Clinical Nurse Specialist Specialization: Medical-Surgical |
327890 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE | 327890 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144509456 | Gary Fuller | Pharmacist | 842 N Pinnon Rd, Grants Pass, OR 97526-8304 | 2011-08-04 |
| 1336781103 | Gary Michael Fuller | Counselor | 771 W Orangethorpe Ave, Fullerton, CA 92832-2806 | 2019-10-14 |
| Street Address |
351 HEARST AVE |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94112-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235737545 | Janine L Gong | Physical Therapist | 5737 Mission St., San Francisco, CA 94112 | 2020-10-09 |
| 1518449974 | Sophia Steffani | Behavioral Analyst | 385 Niagara Avenue, San Francisco, CA 94112 | 2018-09-02 |
| 1437642097 | Victoria Lopez | Registered Nurse | 1947 Center Street, 2nd Floor, Berkeley, CA 94112 | 2018-06-08 |
| 1962903773 | Joshua Jones | Behavior Technician | 795 Folsom St, 1st Floor, San Francisco, CA 94112 | 2018-02-27 |
| 1861917973 | Tiffany Huang | Occupational Therapist | 262 Broad Street, San Francisco, CA 94112 | 2017-08-09 |
| 1396113858 | David Laudenorio | Public Health or Welfare | 1221 Athens St, San Francisco, CA 94112 | 2015-09-14 |
| 1497133466 | Jennifer Michelle Zanoli | Student in an Organized Health Care Education/Training Program | 1701 Ocean Ave Omi Family Services, San Francisco, CA 94112 | 2015-05-11 |
| 1346653649 | Vincent Yan | Marriage & Family Therapist | 15 Robinson Dr, San Francisco, CA 94112 | 2014-06-04 |
| 1831448430 | Kelly Marie Thomas | Clinic/Center | 4877 Mission Street, San Francisco, CA 94112 | 2012-08-29 |
| 1467756544 | Andrew Loukas | Dentist | 5248 Mission St, San Francisco, CA 94112 | 2011-01-04 |
| Find all providers in zip 94112 | ||||
| Taxonomy Code | 364SM0705X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710205158 | Fatima Ascano-martin | Clinical Nurse Specialist | 375 Laguna Honda Blvd, San Francisco, CA 94116-1411 | 2010-05-10 |
| 1659699106 | Diane Barbara Vaccaro | Clinical Nurse Specialist | 375 Laguna Honda Blvd, San Francisco, CA 94116-1411 | 2010-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780959155 | Ivonne T. Jorif | Clinical Nurse Specialist | 3632 Kalsman Dr, #3, Los Angeles, CA 90016-4416 | 2012-03-18 |
| 1356461180 | Julie Binion | Clinical Nurse Specialist | 522 W Omaha Ave, Clovis, CA 93619-4805 | 2007-03-29 |
| 1023146016 | Susan Scott Zoellner | Clinical Nurse Specialist | 240 Harding Ave, Los Gatos, CA 95030-6307 | 2007-03-01 |
| 1639492895 | Yasmin Cecile Embden | Clinical Nurse Specialist | 2701 W Alameda Ave, Suite 602, Burbank, CA 91505-4402 | 2010-03-02 |
| 1164673430 | Sabine Foster | Clinical Nurse Specialist | 2801 Atlantic Ave, Long Beach, CA 90806-1701 | 2008-10-06 |
| 1083876551 | Regina Marie Singh | Clinical Nurse Specialist | 1401 Spanos Ct, Suite 103, Modesto, CA 95355-2810 | 2008-06-26 |
| 1811046790 | Donna G Patey | Clinical Nurse Specialist | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-09 |
| 1801944558 | Janet Goulson | Clinical Nurse Specialist | 99 Montecillo Rd, San Rafael, CA 94903-3308 | 2007-01-08 |
| 1033272109 | Bette Louise Greer | Clinical Nurse Specialist | 7300 N Fresno St, Fresno, CA 93720-2941 | 2006-12-19 |
| 1487717971 | Chia-yin Lin | Clinical Nurse Specialist | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-12-18 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94112 |
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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.