Scott C Fuller (NPI# 1174507180, PAC ID# 2466504097) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1174507180 |
| PAC ID by PECOS | 2466504097 |
| Professional Enrollment ID | I20090713000565 |
| Full Name | Scott C Fuller |
| Organization Legal Name | REGENTS OF THE UNIV OF CA |
| Address |
2315 Stockton Blvd Sacramento CA 95817-2201 |
| Gender | M |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3375456619 |
| Number of Group Practice Members | 1001 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050599 | UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2315 Stockton Blvd, Sacramento, CA 95817-2201 | REGENTS OF THE UNIV OF CA | |
| 2521 Stockton Blvd, Sacramento, CA 95817-2207 | REGENTS OF THE UNIV OF CA |
| Organization Legal Name | REGENTS OF THE UNIV OF CA |
| Physicians | 1167 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Le | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| David C Asseff | Anesthesiology | Regents of The Univ of Ca | 5275 F St, Sacramento, CA 95819-3228 |
| Arun Ranjan Panigrahi | Pediatric Medicine | Regents of The Univ of Ca | 2521 Stockton Blvd, Sacramento, CA 95817-2207 |
| John L Ancona | Physician Assistant | Regents of The Univ of Ca | 2221 Stockton Blvd, Sacramento, CA 95817-1418 |
| Grace F Monis | Pathology | Regents of The Univ of Ca | 2315 Stockton Blvd, Sacramento, CA 95817-2201 |
| Miriam T Davis | Emergency Medicine | Regents of The Univ of Ca | 4701 X St, Sacramento, CA 95817-2280 |
| Marcia Y Nearing | Optometry | Regents of The Univ of Ca | 271 Turn Pike Dr, Folsom, CA 95630-8098 |
| Edward Jae Hoon Kim | Hematology/oncology | Regents of The Univ of Ca | 4501 X St, Sacramento, CA 95817-2229 |
| Kendra L Grether-jones | Emergency Medicine | Regents of The Univ of Ca | 1508 Alhambra Way, Sacramento, CA 95817 |
| Ryan A Armour | Neurology | Regents of The Univ of Ca | 4860 Y St, Sacramento, CA 95817-2307 |
| Street Address |
2315 STOCKTON BLVD |
| City | SACRAMENTO |
| State | CA |
| Zip | 95817-2201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace F Monis | Pathology | Regents of The Univ of Ca | 2315 Stockton Blvd, Sacramento, CA 95817-2201 |
| Thomas M Goodnow | Certified Registered Nurse Anesthetist (crna) | Regents of The Univ of Ca | 2315 Stockton Blvd, Sacramento, CA 95817-2201 |
| Pouria Kashkouli | Internal Medicine | Regents of The Univ of Ca | 2315 Stockton Blvd, Sacramento, CA 95817-2201 |
| Paul R Kaesberg | Hematology/oncology | Regents of The Univ of Ca | 2315 Stockton Blvd, Sacramento, CA 95817-2201 |
| Jeanny K Park | Pediatric Medicine | Regents of The Univ of Ca | 2315 Stockton Blvd, Sacramento, CA 95817-2201 |
| Paul B Aronowitz | Internal Medicine | Regents of The Univ of Ca | 2315 Stockton Blvd, Sacramento, CA 95817-2201 |
| Voltaire R Sinigayan | Internal Medicine | Regents of The Univ of Ca | 2315 Stockton Blvd, Sacramento, CA 95817-2201 |
| Mili Arora | Internal Medicine | Regents of The Univ of Ca | 2315 Stockton Blvd, Sacramento, CA 95817-2201 |
| Kimberly A Beres | Certified Registered Nurse Anesthetist (crna) | Regents of The Univ of Ca | 2315 Stockton Blvd, Sacramento, CA 95817-2201 |
| Spencer S Clark | Diagnostic Radiology | Regents of The Univ of Ca | 2315 Stockton Blvd, Sacramento, CA 95817-2201 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kendra L Grether-jones | Emergency Medicine | Regents of The Univ of Ca | 1508 Alhambra Way, Sacramento, CA 95817 |
| Diana L Farmer | General Surgery | Regents of The Univ of Ca | 4861 Y St, Sacramento, CA 95817 |
| Satinder K Gill | Clinical Psychologist | Regents of The Univ of Ca | 1508 Alhambra Way, Sacramento, CA 95817 |
| Harpreet M Gill | Psychiatry | County of Sacramento | 2130 Stockton Blvd, Sacramento, CA 95817-1337 |
| Kathleen A Marshall | Psychiatry | County of Sacramento | 2130 Stockton Blvd, Sacramento, CA 95817-1337 |
| Cary G Weintraub | Psychiatry | County of Sacramento | 2130 Stockton Blvd, Sacramento, CA 95817-1337 |
| Puja L Chadha | Psychiatry | County of Sacramento | 2130 Stockton Blvd, Sacramento, CA 95817-1337 |
| Alan K Koike | Psychiatry | County of Sacramento | 2130 Stockton Blvd, Sacramento, CA 95817-1337 |
| Alison L Sweet | Clinical Social Worker | County of Sacramento | 2130 Stockton Blvd, Sacramento, CA 95817-1337 |
| Lorin M Scher | Psychiatry | Regents of The Univ of Ca | 2230 Stockton Blvd, Sacramento, CA 95817-1353 |
| Find all physicians in zip 95817 | |||
| City | SACRAMENTO |
| Zip Code | 95817 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SACRAMENTO + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Scott C Fuller.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.