DAVID G FULLER MD A PROFESSIONAL CORPORATION
NPI 1083371934
Family Medicine in Oakdale, CA
About David G Fuller Md A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVID G FULLER MD A PROFESSIONAL CORPORATION (NPI 1083371934), doing business as David G Fuller Md A Prof Corp, is a healthcare organization registered as a family medicine in Oakdale, California and active in the NPI registry since November 2021. The organization lists David Glenn Fuller, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David G Fuller Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to David G Fuller MD A Professional Corporation, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 G Fuller MD A Professional Corporation's NPI number?
The NPI number for David G Fuller MD A Professional Corporation is 1083371934. It was assigned to this organization in the NPPES registry on November 25, 2021. The provider is doing business as David G Fuller MD A Prof Corp.
Where is David G Fuller MD A Professional Corporation located?
David G Fuller MD A Professional Corporation is located at 10468 Saint Andrews Ct, Oakdale, CA 95361. The listed phone number is (209) 630-1531.
What is David G Fuller MD A Professional Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is David G Fuller MD A Professional Corporation enrolled in Medicare?
Yes. David G Fuller MD A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through David G Fuller MD A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to David G Fuller MD A Professional Corporation. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for David G Fuller MD A Professional Corporation was last updated on November 25, 2021. 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.
# David G Fuller Md A Professional Corporation · NPI 1083371934
Family Medicine organization in Oakdale, California. Organization record, active in the CMS NPPES registry since November 25, 2021.
## Identity
- **NPI:** 1083371934 (Entity type: Organization)
- **Enumerated:** November 25, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** David G Fuller MD A Prof Corp (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** David Fuller, CEO
## Practice location
- **Address:** 10468 SAINT ANDREWS CT, Oakdale, CA 95361-7602
- **Phone:** (209) 630-1531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1083371934) · Data from the CMS NPPES public registry.