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DR. KEVIN L. FULFORD MD
NPI 1063594612
Obstetrics & Gynecology in La Mesa, CA

Active since October 20, 2006PECOS Enrolled
5555 GROSSMONT CENTER DR, LA MESA, CA 91942(619) 704-4966 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kevin L. Fulford Md NPPES

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

DR. KEVIN L. FULFORD MD (NPI 1063594612) is an individual obstetrics & gynecology provider in La Mesa, California, licensed in California (A66474) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Murfreesboro.

NPPES Registry Identity

NPI1063594612
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. KEVIN L. FULFORDCredential: MD
Location Address5555 GROSSMONT CENTER DRLa Mesa, CA 91942-3019
Mailing Address250 Murray DrEl Cajon, CA 92020-4113 · (423) 552-6924
Phone(619) 704-4966
Sole ProprietorNo
Enumeration DateOctober 20, 2006
Last NPPES UpdateJanuary 3, 2020
✔ NPI 1063594612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · A66474
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

5555 GROSSMONT CENTER DR, La Mesa, CA 91942
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 N Highland AveMurfreesboro, TN 37130-3837 · Phone (615) 396-4100

Other Identifiers 1

Medicaid3861990TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin L. Fulford 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALHELI BAILY
Registered Nurse
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
MISS APRIL JULIA CROMIE PMHNP-BC, APRN, MSN
Nurse Practitioner (Psychiatric/Mental Health)
5555 GROSSMONT CENTER DR, 5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (858) 296-6182
TEAGAN SHEA COLEMAN
Registered Nurse (Emergency)
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
BRENDAN J LEE DO
Emergency Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 644-4401
PAUL Y ABOU MD
Internal Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 465-0711
MRS. AMY ELIZABETH VU P.A.-C
Physician Assistant
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
CHRISTA ANN LANDOWSKA AREFIEVA MD
Emergency Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000
TYLER QUOC NGUYEN
Pharmacist
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
San Diego County (619) 740-6000

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 Kevin Fulford's NPI number?

The NPI number for Kevin Fulford is 1063594612. It was assigned to this individual provider in the NPPES registry on October 20, 2006.

Where is Kevin Fulford located?

Kevin Fulford practices at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 704-4966.

What is Kevin Fulford's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kevin Fulford enrolled in Medicare?

Yes. Kevin Fulford is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Fulford accept?

Health plans from Blue Cross Blue Shield of Wyoming and Medica list Kevin Fulford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Fulford was last updated on January 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.