DR. CATHERINE G FULLER (NPI# 1851349120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851349120 |
| Entity Type | Individual |
| Full Name | DR. CATHERINE G FULLER |
| Credential | M.D. |
| Practice Address |
11645 Wilshire Blvd Suite 1150 Los Angeles CA 90025-1708 |
| Practice Telephone | 3108287978 |
| Practice Fax Number | 3109091911 |
| Mailing Telephone | 3108287978 |
| Mailing Fax Number | 3109091911 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2010-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | A43782 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PTAN | WA43782F | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316352065 | Catherine Fuller | Nurse Practitioner | 1559 Watasheamu Road, Gardnerville, NV 89460 | 2014-06-20 |
| 1063618577 | Catherine Grace Fuller | Psychologist | 960 E Green St Ste 290, Pasadena, CA 91106-2401 | 2007-06-22 |
| 1275746620 | Catherine Joy Fuller | Kinesiotherapist | 3480 Spring Hill Ave, Mobile, AL 36608-1523 | 2007-05-08 |
| 1023679123 | Catherine Fuller | Counselor | 3129 Spring Grove Ave, Cincinnati, OH 45225-1821 | 2019-06-28 |
| 1205356904 | Catherine Fuller | Counselor | 2369 2nd Ave, New York, NY 10035-3108 | 2017-06-23 |
| 1922250679 | Catherine Fuller | Speech-Language Pathologist | 9607 Research Blvd, Ste 675, Austin, TX 78759-5691 | 2008-10-14 |
| 1689793986 | Catherine Leigh Fuller | Physical Therapist | 10632 Little Patuxent Pkwy, Suite 129, 2000 Building, Columbia, MD 21044-3273 | 2007-03-28 |
| Street Address |
11645 WILSHIRE BLVD SUITE 1150 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-1708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475986 | Scott Ritchey Sale | Specialist | 11645 Wilshire Blvd, Suite 1090, Los Angeles, CA 90025-1708 | 2006-04-11 |
| 1801244108 | Nicole Karman Gilbert | Psychologist | 11645 Wilshire Blvd, Suite 1065, Los Angeles, CA 90025-1708 | 2016-05-26 |
| 1972988491 | Eric J. Meinhardt, M.d., A Professional Corporation | Dermatology | 11645 Wilshire Blvd, 1080, Los Angeles, CA 90025-1708 | 2015-07-26 |
| 1821482258 | Taraneh F. Noorvash Dds Inc | Clinic/Center | 11645 Wilshire Blvd, Suite 1060, Los Angeles, CA 90025-1708 | 2015-03-24 |
| 1245638253 | Maurice Firouz, D.d.s., Inc. | Clinic/Center | 11645 Wilshire Blvd, 1060, Los Angeles, CA 90025-1708 | 2014-12-08 |
| 1619374238 | Maurice K Masliah | Dentist | 11645 Wilshire Blvd, Ste 1158, Los Angeles, CA 90025-1708 | 2014-11-25 |
| 1720322415 | Brentwood Medical Group A Professional Medical Corp | Internal Medicine | 11645 Wilshire Blvd, Suite 745, Los Angeles, CA 90025-1708 | 2012-11-19 |
| 1023360039 | Med-x Drug & Alcohol Testing Services | Legal Medicine | 11645 Wilshire Blvd, Suite 825, Los Angeles, CA 90025-1708 | 2012-10-15 |
| 1174899686 | Advanced Interventional Pain Center La | Pain Medicine | 11645 Wilshire Blvd, Suite 852, Los Angeles, CA 90025-6808 | 2012-03-29 |
| 1912211426 | Manuel Anthony Bustamante | Dentist | 11645 Wilshire Blvd, Suite 1160, Los Angeles, CA 90025-6811 | 2010-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609397421 | Utkucan Acar | Allergy & Immunology | 10833 Le Conte Ave Rm 12-311, Los Angeles, CA 90095-3075 | 2017-06-30 |
| 1093166795 | Terrie Susie Ahn | Allergy & Immunology | 10833 Le Conte Ave # 12-311, Los Angeles, CA 90095-3075 | 2016-06-24 |
| 1073835617 | Jean Marie Hanley | Allergy & Immunology | 1801 E. Marengo St., L-902, Los Angeles County Usc Division of Allergy, Los Angeles, CA 90033-1083 | 2010-02-24 |
| 1275693400 | Victor F Tapson | Allergy & Immunology | 127 S San Vicente Blvd # A6100, Los Angeles, CA 90048-3311 | 2006-12-11 |
| 1073699724 | Barry Allen Kohn | Allergy & Immunology | 7095 Hollywood Blvd, #635, Los Angeles, CA 90028-8903 | 2006-10-27 |
| 1083721344 | Roger M Katz | Allergy & Immunology | 11500 W Olympic Blvd Ste 630, Los Angeles, CA 90064-1538 | 2006-08-24 |
| 1649281130 | Etan Milgrom | Allergy & Immunology | 849 W 34th St, Los Angeles, CA 90089-0079 | 2006-08-10 |
| 1497764989 | Jennifer J Baik | Allergy & Immunology | 300 S Hobart Blvd, Suite301, Los Angeles, CA 90020-3635 | 2006-08-05 |
| 1679582985 | Sincere Allergy Asthma Medical Group, Inc | Allergy & Immunology | 300 S Hobart Blvd Ste 301, Los Angeles, CA 90020-3693 | 2006-08-05 |
| 1285603902 | Uc Regents Ucla Department of Medicine Professional Group | Allergy & Immunology | Uc Regents Ucla Dept of Med Prof Grp 100 Med Plaza, Suite 290,450,455,490,525,550,510,700, Los Angeles, CA 90095-0001 | 2006-03-15 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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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.