DR. DAVID G FULLER M.D.
NPI 1033149448
Family Medicine in Oakdale, CA
About Dr. David G Fuller M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID G FULLER M.D. (NPI 1033149448) is an individual family medicine provider in Oakdale, California, licensed in California (G69104) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. David G Fuller M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show David Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Oakdale, CA 95361
- Reassigned Medicare billing, California enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95361 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OAKDALE, CA 95361
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is David Fuller's NPI number?
The NPI number for David Fuller is 1033149448. It was assigned to this individual provider in the NPPES registry on July 3, 2006.
Where is David Fuller located?
David Fuller practices at 10468 Saint Andrews Ct, Oakdale, CA 95361. The listed phone number is (209) 630-1531.
What is David Fuller's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David Fuller enrolled in Medicare?
Yes. David Fuller is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for David Fuller's services?
According to the CMS Revalidation Reassignment List (October 2026 release), David Fuller reassigns Medicare benefits to David G Fuller MD A Professional Corporation (Oakdale, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for David Fuller was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. David G Fuller, M.D. · NPI 1033149448
Family Medicine physician in Oakdale, California. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1033149448 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** G69104 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10468 SAINT ANDREWS CT, Oakdale, CA 95361-7602
- **Phone:** (209) 630-1531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** David G Fuller MD A Professional Corporation (NPI 1083371934, Oakdale, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2022
- **Other identifiers:** Medicaid 00G691040 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1033149448) · Data from the CMS NPPES public registry.