JAY M. FULLER (NPI# 1912167040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912167040 |
| Entity Type | Individual |
| Full Name | JAY M. FULLER |
| Credential | PT |
| Practice Address |
26 Centerpointe Dr Suite 115 La Palma CA 90623-1072 |
| Mailing Address |
5080 Spectrum Dr Suite 1200 West Addison TX 75001-4648 |
| Practice Telephone | 7145228020 |
| Mailing Telephone | 8002323550 |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2008-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
3551 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053667758 | Jay Fuller | Optometrist | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2012-07-31 |
| Street Address |
26 CENTERPOINTE DR SUITE 115 |
| City | LA PALMA |
| State | CA |
| Zip Code | 90623-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104940410 | Joseph Guerrero | Preventive Medicine | 26 Centerpointe Dr, Suite 115, La Palma, CA 90623-1072 | 2007-03-19 |
| 1417406232 | Howard Koh | Occupational Therapist | 26 Centerpointe Dr, La Palma, CA 90623-2567 | 2016-09-22 |
| 1720295744 | Concentra Medical Center | Clinic/Center | 26 Centerpointe Dr, 115, La Palma, CA 90623-1072 | 2007-05-17 |
| 1881710283 | Jesse R Zepeda | Physician Assistant | 26 Centerpointe Dr, Suite 115, La Palma, CA 90623-1072 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972026953 | Kimberley Pak | Behavioral Analyst | 6 Centerpointe Dr Ste 700, La Palma, CA 90623 | 2017-07-20 |
| 1881127850 | Gaylynn Motta | Social Worker | 7512 Keith Circle, La Palma, CA 90623 | 2017-04-06 |
| 1073062832 | Kaiser Permanente | General Acute Care Hospital | 4932 Santiago Drive, La Palma, CA 90623 | 2016-09-22 |
| 1205204179 | Joanna L Tran | Physician Assistant | 5451 La Palma Avenue Suite 25, La Palma, CA 90623 | 2015-09-09 |
| 1558783258 | Marilyn Lee | Nurse Practitioner | 1 Centerpointe Dr., Ste 415, La Palma, CA 90623 | 2014-01-15 |
| 1487089157 | Occupational Health Centers of Illinois PC | Clinic/Center | 40 Centerpointe Dr, La Palma, CA 90623 | 2013-09-12 |
| 1619217833 | Seong Woo Rhee | Acupuncturist | 7872 Walker St., Suite#104, La Palma, CA 90623 | 2013-02-25 |
| 1942553458 | Michael Zhang | Dentist | 4511 Montecito Dr., La Palma, CA 90623 | 2012-10-22 |
| 1174824841 | Justin Wu | Internal Medicine | 5451 La Palma Ave Ste 25, La Palma, CA 90623 | 2010-11-10 |
| 1669667762 | Guity N Yeganeh | Pediatrics | 5 Centerpoint Dr., La Palma, CA 90623 | 2007-09-11 |
| Find all providers in zip 90623 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104940410 | Joseph Guerrero | Preventive Medicine | 26 Centerpointe Dr, Suite 115, La Palma, CA 90623-1072 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616240 | Universal Point Clinics Corporation | Preventive Medicine | 1236 Brooks St, Ontario, CA 91762-3608 | 2020-10-09 |
| 1952919763 | John G. Alevizos, D.o., A Professional Medical Corporation | Preventive Medicine | 1530 East Edinger Avenue, Suite 1, Santa Ana, CA 92705 | 2020-07-17 |
| 1790332260 | Aftim A Saba | Preventive Medicine | 1675 7th St Rm 232, Oakland, CA 94615-0002 | 2019-08-20 |
| 1619520905 | Lauren Krumholz Edwards | Preventive Medicine | 3421 Empresa Dr Ste D, San Luis Obispo, CA 93401-7364 | 2019-07-16 |
| 1184285827 | Gurmu Occmed Services Inc | Preventive Medicine | 500 Greenfield Ave, Hanford, CA 93230-3515 | 2019-06-24 |
| 1831605625 | Med Fit Consulting, Inc. | Preventive Medicine | 10425 Tierrasanta Blvd Ste 108, San Diego, CA 92124-2618 | 2017-12-16 |
| 1619482239 | American Health Enterprises, Inc. | Preventive Medicine | 9500 Stockdale Hwy Ste 101, Bakersfield, CA 93311-3621 | 2017-12-05 |
| 1295249548 | Rose Donna Maria Baytop | Preventive Medicine | 2200 Pacific Hwy # Mzq-4, San Diego, CA 92101-1745 | 2017-11-24 |
| 1699295790 | U.S. Healthworks Medical Group, P.C. | Preventive Medicine | 2550 N Hollywood Way Ste 100, Burbank, CA 91505-5015 | 2017-06-21 |
| 1427588706 | Metro Healthcare Medical Corporation | Preventive Medicine | 3440 Wilshire Blvd Ste 1207, Los Angeles, CA 90010-2127 | 2017-06-19 |
| Find all providers with the same taxonomy | ||||
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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.