MRS. MIRIAM C. FULTON (NPI# 1124094685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124094685 |
| Entity Type | Individual |
| Full Name | MRS. MIRIAM C. FULTON |
| Credential | R.N., NP |
| Practice Address |
1798 N Garey Ave Pomona CA 91767-2918 |
| Mailing Address |
2030 Avenida Hacienda Chino Hills CA 91709-4700 |
| Practice Telephone | 9098659850 |
| Practice Fax Number | 9096236354 |
| Mailing Telephone | 9093937913 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN247519 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1798 N GAREY AVE |
| City | POMONA |
| State | CA |
| Zip Code | 91767-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255313318 | Alexander J Chien | Radiology | 1798 N Garey Ave, Pomona, CA 91767 | 2005-11-15 |
| 1760097877 | Sydney Hendricks LLC | Nurse Practitioner | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-09-15 |
| 1801408398 | Alexandra Corcoran | Pharmacist | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-08-18 |
| 1780209940 | Sukhjit Kaur | Pharmacist | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-06-13 |
| 1669097200 | Stephanie Dao Truong | Pharmacist | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-06-09 |
| 1366066276 | Helene Grosflam | Pharmacist | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-06-05 |
| 1821618265 | Richard Arnold Sanchez | Physical Therapy Assistant | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-04-24 |
| 1689294688 | Keshonna Barnes | Clinical Exercise Physiologist | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-04-20 |
| 1740809698 | Claudia Castaneda Parra | Specialist/Technologist | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-04-10 |
| 1982223053 | Joan Ryan Harper | Physical Therapist | 1798 N Garey Ave, Pomona, CA 91767-2918 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807979 | Ayed Hawatmeh Dds Inc | Dentist | 322 E Foothill Blvd, Pomona, CA 91767 | 2020-10-02 |
| 1780205302 | Melanie Crystal Ramirez | Counselor | 845 East Arrow Hwy, Pomona, CA 91767 | 2020-05-05 |
| 1780249029 | Jean Hang | Pharmacist | 775 East Foothill Blvd, Pomona, CA 91767 | 2019-05-02 |
| 1679043269 | Christy Bloss | Counselor | 16029 Arrow Hwy. Suite G, Irwindale, CA 91767 | 2018-11-27 |
| 1740758895 | Pomona Community Health Center | Dentist | 1448 E Holt Avenue, Pomona, CA 91767 | 2018-11-07 |
| 1245749878 | Continental Post Acute LLC | Skilled Nursing Facility | 1912 N.san Antonio, Pomona, CA 91767 | 2017-09-26 |
| 1083134373 | Virginia Thompson | Counselor | 845 E. Arrow Hwy., Pomona, CA 91767 | 2017-06-27 |
| 1215489000 | Boys Republic - Pomona Residence | Community/Behavioral Health | 733 N Garey Ave, Pomona, CA 91767 | 2016-10-27 |
| 1164870499 | Karthikeyan Bhuvaneswaran | Psychiatry & Neurology | 255 E Bonita Ave Bldg Suite103, Pomona, CA 91767 | 2016-05-26 |
| 1679936777 | Nex's Traditional Chinese Medicine | Acupuncturist | 1150 N Garey Ave, Pomona, CA 91767 | 2016-04-05 |
| Find all providers in zip 91767 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073694261 | Catherine Brunner | Nurse Practitioner | 974 Rte 45, Suite 1200, Pomona, NY 10970 | 2006-10-17 |
| 1649646803 | Katrina Latrice Britton | Nurse Practitioner | 350 Vinton Ave Ste 101, Pomona, CA 91767-3000 | 2015-08-11 |
| 1003822479 | Sara M Neyers | Nurse Practitioner | Jimmie Leeds Road, Atlanticare Regional Medical Center, Pomona, NJ 08240 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
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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.