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DR. SHANDI JOYCELYN FULLER MD
NPI 1225285034
Pediatrics in Berkeley, CA

Active since August 22, 2008PECOS Enrolled
1918 BONITA AVE STE 200, BERKELEY, CA 94704(510) 939-1300 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shandi Joycelyn Fuller Md NPPES

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

DR. SHANDI JOYCELYN FULLER MD (NPI 1225285034) is an individual pediatrics provider in Berkeley, California, licensed in California (A117119) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fairfield.

NPPES Registry Identity

NPI1225285034
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. SHANDI JOYCELYN FULLERCredential: MD
Location Address1918 BONITA AVE STE 200Berkeley, CA 94704-1014
Mailing Address1918 Bonita Ave Ste 200Berkeley, CA 94704-1014 · (105) 939-1300
Phone(510) 939-1300
Sole ProprietorNo
Enumeration DateAugust 22, 2008
Last NPPES UpdateJune 14, 2022
NPPES CertifiedJune 14, 2022
✔ NPI 1225285034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A117119
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1918 BONITA AVE STE 200, Berkeley, CA 94704
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Secondary Practice Location 1

Location 12201 Courage DrFairfield, CA 94533-6733 · Phone (707) 784-8348

Other Identifiers 2

Other97347NC · Certification
OtherA117119CA · License

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. Shandi Joycelyn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94704 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
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 17

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

PSYCHOSOCIAL THERAPY LICENSED MARRIAGE AND FAMILY THERAPISTS INC.
Marriage & Family Therapist
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Alameda County (510) 288-6336
MS. HEATHER MCLAREN ROSELAREN LCSW/MPH
Social Worker (Clinical)
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Alameda County (510) 527-1217
MRS. KARA C RUBENS
Counselor (Mental Health)
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Alameda County (415) 669-4779
ALEXANDRA JOY SIDEROFF LMFT, LMHC
Marriage & Family Therapist
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Alameda County (415) 944-7685
RACHEL CROTHERS M.D.
Psychiatry & Neurology (Psychiatry)
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Alameda County (510) 473-6855
RESILIENT CHILDREN BEHAVIORAL HEALTH CENTER
Psychiatry & Neurology (Psychiatry)
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Alameda County (415) 364-8573
JESSICA V GOODMAN
Social Worker (Clinical)
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Alameda County (707) 435-3764
KANAYO AGBODIKE PHD
Psychoanalyst
1918 BONITA AVE STE 200
BERKELEY, CA 94704
Alameda County (510) 471-3849

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 Shandi Fuller's NPI number?

The NPI number for Shandi Fuller is 1225285034. It was assigned to this individual provider in the NPPES registry on August 22, 2008.

Where is Shandi Fuller located?

Shandi Fuller practices at 1918 Bonita Ave Ste 200, Berkeley, CA 94704. The listed phone number is (510) 939-1300.

What is Shandi Fuller's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shandi Fuller enrolled in Medicare?

Yes. Shandi Fuller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shandi Fuller was last updated on June 14, 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.