LISA L FULTON (NPI# 1033152566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033152566 |
| Entity Type | Individual |
| Full Name | LISA L FULTON |
| Credential | PT,PCS |
| Practice Address |
6202 Cerulean Ave Garden Grove CA 92845-2756 |
| Practice Telephone | 7143470300 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | PT15269 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT15269 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043827348 | Lisa Fulton | Non-emergency Medical Transport (VAN) | 119 Praetorian Ct, Wilmington, OH 45177-9010 | 2020-09-30 |
| 1083896997 | Lisa Marie Fulton | Registered Nurse | 5471 Hampton Ct, Unit D, Willoughby, OH 44094 | 2007-12-03 |
| 1568820397 | Lisa Marie Fulton | Social Worker | 8640 Eagle Creek Cir, Savage, MN 55378-4400 | 2016-02-08 |
| 1326376245 | Lisa Fulton | Social Worker | 8000 W 127th St, Overland Park, KS 66213-2714 | 2009-12-04 |
| Street Address |
6202 CERULEAN AVE |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92845-2756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407804776 | Diana Weber | Physical Therapist | 6202 Cerulean Ave, Garden Grove, CA 92845-2711 | 2006-05-05 |
| 1275670838 | County of Orange | Clinic/Center | 6202 Cerulean Ave, Garden Grove, CA 92845-2711 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059352 | Maria Sanchez Selvas | Technician | 5922 Belgrave Ave, Garden Grove, CA 92845 | 2019-08-21 |
| 1205342524 | Ahcs Specialty Care LLC | Pharmacy | 12832 Valley View St Ste A&b, Garden Grove, CA 92845 | 2017-12-22 |
| 1154745594 | Amanda Siu | Dentist | 12062 Valley View St #250, Garden Grove, CA 92845 | 2014-02-05 |
| 1295085660 | Harrell M Reznick | Psychologist | 12792 Longden St, Garden Grove, CA 92845 | 2012-09-13 |
| 1093065328 | Jessica Eldridge | Psychologist | 12777 Valley View, Suite 212, Garden Grove, CA 92845 | 2012-09-13 |
| 1205114501 | Hideki Ikeda D.d.s., M.s., Dental Corporation | Dentist | 12777 Valley View St.., Suite 222, Garden Grove, CA 92845 | 2011-08-03 |
| 1669652533 | David D. Brown | Psychiatry & Neurology | 12062 Valley View St Ste 107, Garden Grove, CA 92845 | 2007-11-08 |
| 1427267608 | Stacy Derenard | Speech-Language Pathologist | 12060 Valley View St, Suite 137, Garden Grove, CA 92845 | 2007-05-22 |
| 1992914170 | Erin Dawn Densmore | Speech-Language Pathologist | 12060 Valley View St., Suite 137, Garden Grove, CA 92845 | 2007-05-22 |
| 1902944929 | Regency Hospice Inc | Hospice Care, Community Based | 12062 Valley View Street #125, Garden Grove, CA 92845 | 2007-02-02 |
| Find all providers in zip 92845 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518231224 | Mary Thuy Le | Physical Therapist | 12881 Knott St Ste 103, Garden Grove, CA 92841-3939 | 2012-02-27 |
| 1487945101 | Heather Heffner | Physical Therapist | 12881 Knott St Ste 103, Garden Grove, CA 92841-3939 | 2011-04-28 |
| 1033357975 | The Hallway Group, Inc. | Physical Therapist | 12881 Knott St, Suite 103, Garden Grove, CA 92841-3925 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745233 | Tejal Shah Chokshi | Physical Therapist | 7425 La Mantanza, San Diego, CA 92127-3636 | 2020-09-16 |
| 1487277992 | Katherine Anne Zweier | Physical Therapist | 4646 Van Dyke Ave, San Diego, CA 92116-4842 | 2020-05-19 |
| 1184246621 | Achieving Milestones Pediatric Therapy, Inc | Physical Therapist | 221 E Glenoaks Blvd # 225a, Glendale, CA 91207-2085 | 2020-05-07 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1215585690 | Maggie Christine Ridenhour | Physical Therapist | 1541 Old Bayshore Hwy, Burlingame, CA 94010-1602 | 2019-08-29 |
| 1477100162 | Fasia Ramirez | Physical Therapist | 35510 Schuber Ln, Temecula, CA 92592-8125 | 2019-08-19 |
| 1689229841 | Jaclyn Rymer | Physical Therapist | 1000 S Fremont Ave Bldg 10n10220, Alhambra, CA 91803 | 2019-08-05 |
| 1649836669 | Karin Stohn | Physical Therapist | 100 Mcgivern Way, Santa Cruz, CA 95060-9300 | 2019-05-15 |
| 1376108597 | Karen Dzierski Cruise | Physical Therapist | 10860 Topanga Canyon Blvd, Chatsworth, CA 91311-1350 | 2019-05-02 |
| 1326511064 | Lissett Rojas | Physical Therapist | 855 N Lark Ellen Ave Ste L, West Covina, CA 91791-1099 | 2019-01-04 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN GROVE |
| Zip Code | 92845 |
Please comment or provide details below to improve the information on LISA L FULTON.
| 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.