David G Fuller MD A Professional Corporation
NPI 1083371934ActiveOrganization· Family Medicine· Oakdale, CA
Family Medicine in Oakdale, California, registered in NPPES in November 2021. The authorized official on file is David Glenn Fuller, MD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083371934 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 25, 2021 |
| Last updated in NPPES | Nov 25, 2021 |
| Certified by provider | Nov 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Dietitian, Registered | 133V00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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