GRETCHEN FULLER NPI 1730507047

NPI Information

NPI: 1730507047
Provider Name: GRETCHEN FULLER
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
505 PARNASSUS AVE
M24
SAN FRANCISCO, CA
ZIP 94143
Phone: (415) 353-1529
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Gretchen Fuller is a pediatric emergency medicine pediatrics in San Francisco, CA. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Gretchen Fuller NPI is 1730507047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

505 PARNASSUS AVE
M24
SAN FRANCISCO, CA
ZIP 94143
Phone: (415) 353-1529

The NPI 1730507047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2014 and was last updated on 9/24/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program		S83578767	MASSACHUSETTS	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	A140974	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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