DR. TOVA FULLER (NPI# 1386910388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386910388 |
| Entity Type | Individual |
| Full Name | DR. TOVA FULLER |
| Credential | M.D., PH.D. |
| Practice Address |
101 Dudley Ave Apt 309 Venice CA 90291-2302 |
| Practice Telephone | 3104333850 |
| Mailing Telephone | 3104333850 |
| Enumeration Date | 2012-03-24 |
| Last Update Date | 2012-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
101 DUDLEY AVE APT 309 |
| City | VENICE |
| State | CA |
| Zip Code | 90291-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033629837 | Dylan Booth | Dentist | 601 Vernon Ave, Venice, CA 90291 | 2017-10-05 |
| 1467979500 | Linda Sittler | Registered Nurse | 1025 Palms Ave, Venice, CA 90291 | 2017-08-29 |
| 1003218660 | Patricia Guadalupe Rivas | Counselor | 717 Lincoln Blvd., Venice, CA 90291 | 2014-09-25 |
| 1497016877 | Carrie Lynn Kowalski | Physician Assistant | 604 Rose Avenue, Venice, CA 90291 | 2012-06-02 |
| 1821364761 | Cheryl Lynn Perkins | Nutritionist | 215 Culver Boulevard, # 5203, Playa Del Rey, CA 90291 | 2012-03-26 |
| 1629391875 | James L. Hoff | Optometrist | 1636 Abbot Kinney Blvd., Venice, CA 90291 | 2010-03-02 |
| 1720315096 | Kristen Nicol Leishman | Counselor | 911 Coeur D'alene Ave, Venice, CA 90291 | 2009-11-06 |
| 1922237882 | David Anthony Garcia | Physician Assistant | 15031 Rinaldi St., Providence Holy Cross Medical Center Ed, Mission Hills, CA 90291 | 2009-07-13 |
| 1548411010 | David Watts | Acupuncturist | 307 S. Robertson Blvd, Beverly Hills, CA 90291 | 2008-10-02 |
| 1184891699 | Judy Alexander | Voluntary or Charitable | 204 Hampton Drive, St Joseph Center, Venice, CA 90291 | 2008-05-14 |
| Find all providers in zip 90291 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768686 | Traci Kapp | Student in an Organized Health Care Education/Training Program | 1621 Venice Blvd Apt 205, Venice, CA 90291-5966 | 2020-07-23 |
| 1710204821 | Jenelle Marie Girard | Student in an Organized Health Care Education/Training Program | 2724 Abbot Kinney Blvd, #204, Venice, CA 90291-5505 | 2010-04-28 |
| 1972104412 | Keira Armstrong | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-11-02 |
| 1588261614 | Joel Perez Jr. | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-10-01 |
| 1194332189 | Jessica Dian Bryant | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-09-24 |
| 1821625864 | Tanya Kavoussi | Student in an Organized Health Care Education/Training Program | 323 Lincoln Blvd, Venice, CA 90291-2842 | 2020-03-26 |
| 1255963872 | Laura Bautista | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2020-02-11 |
| 1477194702 | Calvin Lee | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-8633 | 2019-10-08 |
| 1376194993 | Sophie Offer | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-2623 | 2019-09-25 |
| 1801445846 | Robyn Roberts | Student in an Organized Health Care Education/Training Program | 204 Hampton Dr, Venice, CA 90291-8633 | 2019-09-11 |
| Find all providers in VENICE | ||||
Please comment or provide details below to improve the information on DR. TOVA FULLER.
| 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.