MICHAEL FULLER


Address: 1100 N D St, San Bernardino, CA 92410-3524
Phone: 9093813774

MICHAEL FULLER (NPI# 1083084115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083084115
Entity Type Individual
Full Name MICHAEL FULLER
Practice Address 1100 N D St
San Bernardino
CA 92410-3524
Practice Telephone 9093813774
Mailing Telephone 9093813774
Enumeration Date 2015-10-01
Last Update Date 2015-10-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Other Providers MICHAEL FULLER

NPI Name Taxonomy Address Enumeration
1013577667 Michael Fuller Licensed Practical Nurse 1539 Cuba Rd, Mayfield, KY 42066-6809 2019-06-17
1376027508 Michael Fuller Case Manager/Care Coordinator 3284 N Bend Rd Ste 108, Cincinnati, OH 45239-7688 2018-09-24
1144638594 Michael Fuller Counselor 777 Silver Oak Dr Apt D117, Carson City, NV 89706-1908 2014-07-30
1568777811 Michael Eugene Fuller Counselor 1743 Gay Dr, Orlando, FL 32803-1914 2010-08-11
1972816221 Michael Daniel Fuller Dentist 7760 W Voice of America Park Dr Ste A, West Chester, OH 45069-3371 2010-07-15
1245461300 Michael Fuller Chiropractor 1143 Kildaire Farms Rd, Cary, NC 27511-4563 2009-08-06
1972519049 Michael Fuller Dentist 7650 Currell Blvd Ste 200, Woodbury, MN 55125-8209 2006-07-31
1881218303 Michael Fuller Health Educator 3411 Division Dr, West Plains, MO 65775-5789 2020-06-01
1609498302 Michael L Fuller Psychologist 205 N 7th St, Zanesville, OH 43701-3791 2020-05-15
1780044586 Michael Fuller General Practice 6490 Main St, Ste 1, Williamsville, NY 14221-5853 2016-03-07

Office Location

Street Address 1100 N D ST
City SAN BERNARDINO
State CA
Zip Code 92410-3524

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356494769 Richard Cornelius Counselor 1100 N D St, San Bernardino, CA 92410-3524 2007-01-19
1114541026 Wesley Howard Gearhart Counselor 1100 N D St, San Bernardino, CA 92410-3524 2020-06-05
1871128843 Johnny Angel Melendez Counselor 1100 N D St, San Bernardino, CA 92410-3524 2020-03-10
1912539396 Jorge Andrew Gutierrez Counselor 1100 N D St, San Bernardino, CA 92410-3524 2020-02-04
1407487846 Robert Romero Jr. Counselor 1100 N D St, San Bernardino, CA 92410-3524 2020-02-03
1336783422 Manuel Acosta Gomez Counselor 1100 N D St, San Bernardino, CA 92410-3524 2019-10-31
1386297083 Ranay Nichole Dato Counselor 1100 N D St, San Bernardino, CA 92410-3524 2019-07-22
1104479823 Martin Allen Johnson Counselor 1100 N D St, San Bernardino, CA 92410-3524 2019-07-22
1639721467 Courtney Elise Mera Marriage & Family Therapist 1100 N D St, San Bernardino, CA 92410-3524 2019-07-11
1144889742 Michelle L Torres Licensed Vocational Nurse 1100 N D St, San Bernardino, CA 92410-3524 2019-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902303472 Reina Elora Garcia Student in an Organized Health Care Education/Training Program 775 E Base Line St Spc 4, San Bernardino, CA 92410 2018-04-10
1558889881 Salaunge Lopez Non-emergency Medical Transport (VAN) 25942 Baseline St Apt D203, San Bernardino, CA 92410 2017-09-07
1902328578 Kelly Canady Counselor 1100 N. D St., San Bernardino, CA 92410 2017-07-14
1881058592 Terron Thomas Contractor 445 South G, Unit B, San Bernardino, IN 92410 2016-04-08
1982064572 Zachary Norton-martinez Specialist/Technologist 650 Del Rosa Dr, San Bernardino, CA 92410 2016-02-25
1003280934 Brenda Boyle Nurse Practitioner 1455 East 3rd Street, San Bernardino, CA 92410 2015-11-16
1689045197 Bryan Carter Physician Assistant 1455 E 3rd Street, San Bernardino, CA 92410 2015-10-09
1801270137 Sac Health System Clinic/Center 250 South G Street, San Bernardino, CA 92410 2015-07-16
1467852269 Wilson Dentistry, Inc. Dentist 1063 N. D St, San Bernardino, CA 92410 2014-08-28
1629405345 Terrence John Forrester Social Worker 1455 E. 3rd St, San Bernardino, CA 92410 2013-09-27
Find all providers in zip 92410

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215547229 Frank R Rivera Counselor 658 E Brier Dr Ste 350, San Bernardino, CA 92408-2875 2020-08-04
1528604501 Rise Recovery Counselor 395 W 17th St, San Bernardino, CA 92405-4409 2019-11-25
1689210775 Inland Empire Community Outreach Center Counselor 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 2019-11-23
1881163434 James Dean Anders Counselor 1481 Windsor Drive, San Bernardino, CA 92404 2018-11-13
1134644115 Jorge Vasquez Counselor 222 W Hospitality Ln, San Bernardino, CA 92415-3536 2017-08-10
1902328578 Kelly Canady Counselor 1100 N. D St., San Bernardino, CA 92410 2017-07-14
1477073377 Mack William Tolle Counselor 321 E Carnegie Dr 210, San Bernardino, CA 92415-3012 2017-06-21
1093247215 Traci Stockham Counselor 1925 W College Ave, Apt 185, San Bernardino, CA 92407-3371 2017-03-28
1760938534 Michael Anthony Davis I Counselor 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 2016-08-31
1770944704 Cheryl Fox Counselor 560 N Arrowhead Ave Ste 1b, San Bernardino, CA 92401-1219 2016-03-18
Find all providers in SAN BERNARDINO

Competitor

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City SAN BERNARDINO
Zip Code 92410

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Dataset Information

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.

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