Clark Beeman Fuller MD Inc
NPI 1538506910ActiveOrganization· Thoracic Surgery (Cardiothoracic Vascular Surgery)· Los Angeles, CA
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Los Angeles, California, registered in NPPES in May 2013. The authorized official on file is Clark B. Fuller, MD, President.
Overview
| NPI | 1538506910 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 26, 2013 |
| Last updated in NPPES | May 26, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary | 208G00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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