LATASHA FULLER
NPI 1184330193
Clinic/Center - Adult Mental Health in Lake Elsinore, CA

Active since January 24, 2023
31764 CASINO DR, LAKE ELSINORE, CA 92530(951) 471-4645 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Latasha Fuller NPPES

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

LATASHA FULLER (NPI 1184330193) is an individual adult mental health provider in Lake Elsinore, California and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1184330193
Entity TypeIndividualFemale
Primary Taxonomy261QM0850X
Provider Legal NameLATASHA FULLER
Location Address31764 CASINO DRLake Elsinore, CA 92530-2312
Mailing Address31764 Casino DrLake Elsinore, CA 92530-2312
Sole ProprietorYes
Enumeration DateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
NPI 1184330193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
31764 CASINO DR, Lake Elsinore, CA 92530

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.

Physical Therapist
31764 CASINO DR, SUITE 106
LAKE ELSINORE, CA 92530
Social Worker (Clinical)
31764 CASINO DR
LAKE ELSINORE, CA 92530
Physical Therapist
31764 CASINO DR, SUITE 106A
LAKE ELSINORE, CA 92530
Physical Therapist
31764 CASINO DR
LAKE ELSINORE, CA 92530
Peer Specialist
31764 CASINO DR, STE 300
LAKE ELSINORE, CA 92530
Licensed Vocational Nurse
31764 CASINO DR
LAKE ELSINORE, CA 92530
Peer Specialist
31764 CASINO DR, STE 300
LAKE ELSINORE, CA 92530
Case Manager/Care Coordinator
31764 CASINO DR, STE 300
LAKE ELSINORE, CA 92530

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 Latasha Fuller's NPI number?

The NPI number for Latasha Fuller is 1184330193. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Where is Latasha Fuller located?

Latasha Fuller practices at 31764 Casino Dr, Lake Elsinore, CA 92530. The listed phone number is (951) 471-4645.

What is Latasha Fuller's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Latasha Fuller was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.