NATHANAEL JOHN-CALEB FULLER MD
NPI 1033678081
Anesthesiology in San Diego, CA

Q: What is Nathanael Fuller's NPI number?

The NPI number for Nathanael Fuller is 1033678081. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Q: What is Nathanael Fuller's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nathanael Fuller was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 19, 2019PECOS Enrolled

200 W ARBOR DR, SAN DIEGO, CA 92103(619) 543-6222 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 27, 2023, May 18, 2023, Jun 24, 2020 and 1 more (4 updates tracked since 2019).

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About Nathanael John-caleb Fuller Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHANAEL JOHN-CALEB FULLER MD (NPI 1033678081) is an individual anesthesiology provider in San Diego, California, licensed in California (A178996) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033678081

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameNATHANAEL JOHN-CALEB FULLERCredential: MD

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing Address402 Dickinson St, Mpf Building, Mail Code 0801San Diego, CA 92103-6902

Phone(619) 543-6222

Sole ProprietorNo

Enumeration DateMarch 19, 2019

Last NPPES UpdateOctober 27, 20234 updates tracked since enumeration

NPPES CertifiedMay 18, 2023

✔ NPI 1033678081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in CA · A178996

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

200 W ARBOR DR, San Diego, CA 92103

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathanael John-caleb Fuller Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)