DR. JOEL ANDREW FULKERSON (NPI# 1144592098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144592098 |
| Entity Type | Individual |
| Full Name | DR. JOEL ANDREW FULKERSON |
| Credential | DO |
| Practice Address |
Bldg 22190 Camp Pendleton CA 92058-2111 |
| Mailing Address |
104 Burrows Ct Oceanside CA 92058-8363 |
| Practice Telephone | 7607252969 |
| Mailing Telephone | 6232255982 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2020-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
0102203655 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
BLDG 22190 |
| City | CAMP PENDLETON |
| State | CA |
| Zip Code | 92058-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508463555 | Michael William Baker | Dental Hygienist | 14th St., Oceanside, CA 92058 | 2020-10-02 |
| 1548877004 | Juliaisa Gisselle Caldero | Dental Assistant | Bldg 13128, Oceanside, CA 92058 | 2020-09-29 |
| 1932715836 | Leilani Viveros | Behavior Technician | 251 Airprort Road, Oceanside, CA 92058 | 2020-09-17 |
| 1043835952 | Emma Caitlin Johnson | Dentist | 92055 14th St, Bldg 13128, Oceanside, CA 92058 | 2020-06-16 |
| 1073135836 | Roxana Ivette Rodriguez | Military Health Care Provider | 22190 Marine Dr, Oceanside, CA 92058 | 2020-05-14 |
| 1699307744 | Rachael Bousman | Specialist/Technologist | 13129 14th St, Area 13, Camp Pendleton, CA 92058 | 2020-02-06 |
| 1811528359 | Misaael Valdes | Military Health Care Provider | Building, B St, Oceanside, CA 92058 | 2020-02-03 |
| 1497385736 | Phong Thanh Tran | Dental Hygienist | 599 A Ave #501, Oceanside, CA 92058 | 2020-01-24 |
| 1245796366 | Christian Thompson | Physician Assistant | 1st Med Bn, Camp Pendleton, Oceanside, CA 92058 | 2019-02-13 |
| 1104308568 | Caila Martin | Behavior Technician | 293 Douglas Dr Apt. 272, Oceanside, CA 92058 | 2018-09-02 |
| Find all providers in zip 92058 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932257094 | Timothy Renfrew Oeltmann | Preventive Medicine | Marine Aircraft Group 39, Medical, Camp Pendleton, CA 92055 | 2007-01-08 |
| 1649255415 | Wayne Thomas Murphy | Preventive Medicine | 200 Mercy Circle, Camp Pendleton, CA 92055-5191 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184149189 | Nguyen Vinh Toan Tran | Preventive Medicine | 3808 E Summitridge Ln, Orange, CA 92867-2122 | 2017-08-10 |
| 1427373398 | Gregg Alexander Bendrick | Preventive Medicine | 4822 Mckay Ave, Nasa Dryden Flight Research Center, Edwards, CA 93523 | 2010-04-02 |
| 1740437425 | Norman Franklin Seidenverg | Preventive Medicine | 2030 Airport Rd, Napa, CA 94558-6208 | 2008-08-25 |
| 1790830347 | Morton Leon Gubin | Preventive Medicine | 210 N El Cielo Rd, Palm Springs, CA 92262-6936 | 2007-01-24 |
| 1275684276 | Alexander Byron Galifianakis | Preventive Medicine | Mcas Miramar, Hmh-466, San Diego, CA 92145 | 2007-01-16 |
| 1750449294 | Sanatkumar Krishnaram Joshi | Preventive Medicine | 1485 Graeber Street, Suite 9 193 Medical Group, March Jarb, CA 92518-1620 | 2006-12-05 |
| 1184680365 | Yolanta Petrofsky | Preventive Medicine | 2470 Hilborn Road, Suite 110, Fairfield, CA 94534 | 2006-04-25 |
| 1124081971 | James Randall Elliott | Preventive Medicine | 95 Amds/sgp, 55 N. Wolfe Ave., Edwards Afb, CA 93524-0001 | 2006-04-11 |
| 1831178334 | Louis George Gilleran | Preventive Medicine | 50 Rosecrans St, Swmi, Bldg 500 Naval Submarine Base San Diego, San Diego, CA 92106-4408 | 2006-01-12 |
| 1821074329 | Christopher T Kuzniewski | Preventive Medicine | Comnavairfor, Box 357051 Nas Ni, San Diego, CA 92135-7051 | 2005-12-16 |
| Find all providers with the same taxonomy | ||||
| City | CAMP PENDLETON |
| Zip Code | 92058 |
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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.