MR. GREGORY FULLER


Address: 1200 N Main St, Suite 200, Santa Ana, CA 92701-3640
Phone: 7144806677

MR. GREGORY FULLER (NPI# 1114342128) 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) 1114342128
Entity Type Individual
Full Name MR. GREGORY FULLER
Credential C.A.D.D.S.
Practice Address 1200 N Main St
Suite 200
Santa Ana
CA 92701-3640
Mailing Address Po Box 11224
Carson
CA 90749-1224
Practice Telephone 7144806677
Mailing Telephone 7144806767
Mailing Fax Number 7145684362
Enumeration Date 2014-02-27
Last Update Date 2015-07-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251B00000X Case Management Agencies

Other Providers GREGORY FULLER

NPI Name Taxonomy Address Enumeration
1174569107 Gregory W Fuller Emergency Medicine 1006 Airport Rd, Jackson, MI 49202-1851 2006-06-20
1356347306 Gregory Michael Fuller Family Medicine 300 North Rufe Snow Dr, Keller, TX 76248 2005-06-23
1235267931 Gregory Alan Fuller Pharmacist 103 Utica St, Hamilton, NY 13346-1100 2007-03-02
1023176591 Gregory Paul Fuller Dentist 7255 E Tanque Verde Rd, Ste 101, Tucson, AZ 85715-3463 2006-12-05
1366547937 Gregory N. Fuller Pathology 1515 Holcombe Blvd, Houston, TX 77030-4009 2006-09-14

Office Location

Street Address 1200 N MAIN ST
SUITE 200
City SANTA ANA
State CA
Zip Code 92701-3640

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740281765 Jeanette Shelly Nurse Practitioner 1200 N Main St, Suite 650, Santa Ana, CA 92701-3640 2005-08-02
1053924324 Juliana Marie Garcia Case Manager/Care Coordinator 1200 N Main St, Santa Ana, CA 92701-3640 2020-08-26
1992316855 Ramona Pritchett Social Worker 1200 N Main St, Santa Ana, CA 92701-3640 2020-08-13
1528615572 Corina Ychelle Curiel Counselor 1200 N Main St, Santa Ana, CA 92701-3640 2019-08-23
1760037055 Julie Ann Salyards Counselor 1200 N Main St, Santa Ana, CA 92701-3640 2019-08-05
1811558133 Hannah Tran Counselor 1200 N Main St, Santa Ana, CA 92701-3640 2019-06-26
1417432964 Meghan Elizabeth Hayhoe Marriage & Family Therapist 1200 N Main St, Santa Ana, CA 92701-3640 2018-10-01
1174007686 Logan Eaton Social Worker 1200 N Main St, Suite 200, Santa Ana, CA 92701 2018-09-20
1518498203 Maurice Ngo Behavior Technician 1200 N Main St, Ste 300, Santa Ana, CA 92701-3640 2017-03-23
1114462132 Marina Refaat Haroon Counselor 1200 N Main St, Santa Ana, CA 92701-3640 2016-12-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841807401 Midori K Dirig Psychologist 405 W. 3rd Street, Santa Ana, CA 92701 2020-09-28
1952915456 Alexandria Bekele Counselor Address: 405 W. 5th Street, Santa Ana, CA 92701 2020-09-02
1508479239 Candice Bjorkman Counselor 1201 E Fruit St, Santa Ana, CA 92701 2020-08-24
1013527365 Maryiam Elizabeth Barkho Dentist 809 South Main Street Suite B, Santa Ana, CA 92701 2020-08-02
1447803788 Emmett Eugene Cook II Counselor 1207 E Fruit Street, Santa Ana, CA 92701 2019-07-16
1619538741 Emily H Sanders Marriage & Family Therapist 1800-f Parkcourt Place, Suite 205, Santa Ana, CA 92701 2019-06-28
1184191769 Peace of Mind Wellness & Family Counseling, Inc. Counselor 1651 E. Fourth St Ste 240, Santa Ana, CA 92701 2018-10-31
1841765815 Kelly Marie Contreras Clinical Medical Laboratory 902 N. Grand Avenue, Suite 204, Santa Ana, CA 92701 2018-10-05
1780176537 Diane Carol Navarro-prescott Counselor 1633 East 4th Street, Santa Ana, CA 92701 2018-06-06
1750873758 Eileen Fernandez Counselor 615 W Civic Center Dr Fl 2, Santa Ana, CA 92701 2018-06-05
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Taxonomy Information

Taxonomy Code 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1972840635 Altamed Health Services Case Management 1155 W Central Ave Ste 104-107, Santa Ana, CA 92707-3165 2013-01-14
1659657013 Orange County Bar Foundation Case Management 313 N Birch St, 2nd Floor, Santa Ana, CA 92701-5263 2011-10-31
1285945444 Youth Guidance Center Case Management 3030 N. Hesperian Way, Santa Ana, CA 92706 2010-06-23
1114108982 County of Orange Case Management 200 W Santa Ana Blvd, Ste 800, Santa Ana, CA 92701 2007-11-20
1639350523 Maternal Outreach Management System Case Management 1212 N Broadway Ste 212, Santa Ana, CA 92701-3404 2007-11-19
1013085075 Providence Community Services Case Management 1246 Oak St, Santa Ana, CA 92707-1344 2006-11-30
1982785044 Orange County Health Care Agency Case Management -405 W. 5th St.,ste 550, Amhs, Santa Ana, CA 92701 2006-10-17
1346254778 Providence Community Services Case Management 1345 Cabrillo Park Dr, Q14, Santa Ana, CA 92701-3108 2006-07-28
1427536630 The Priority Center Ending The Generational Cycle of Trauma Inc. Case Management 1940 E Deere Ave Ste 100, Santa Ana, CA 92705-5718 2018-07-31
1730611831 Baudelia Ruvalcaba Case Management 2720 S Bristol St, Santa Ana, CA 92704-6207 2017-03-29
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Competitor

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City SANTA ANA
Zip Code 92701

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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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