Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JON D FULLER MD
NPI 1245270412
Internal Medicine - Geriatric Medicine in Palo Alto, CA

Q: What is Jon Fuller's NPI number?

The NPI number for Jon Fuller is 1245270412. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Jon Fuller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Q: When was this NPI record last updated?

The NPPES record for Jon Fuller was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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 June 07, 2006PECOS Enrolled

3801 MIRANDA AVE., VA PALO ALTO HCS, PALO ALTO, CA 94304(650) 493-5000 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Dr. Jon D Fuller Md NPPES

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

DR. JON D FULLER MD (NPI 1245270412) is an individual geriatric medicine provider in Palo Alto, California, licensed in California (G68828) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245270412

Entity TypeIndividualMale

Primary Taxonomy207RG0300X

Provider Legal NameDR. JON D FULLERCredential: MD

Location Address3801 MIRANDA AVE., VA PALO ALTO HCSPalo Alto, CA 94304

Mailing Address3801 Miranda Ave. (111), Va Palo Alto HcsPalo Alto, CA 94304 · (650) 493-5000

Phone(650) 493-5000

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1245270412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RG0300X

License✔ Licensed in CA · G68828

Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

3801 MIRANDA AVE., Palo Alto, CA 94304

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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)

Dr. Jon D 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 94304 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

$206.04 typical visit price

range $70.37 – $206.04

Typical copayment $51.51 (range $17.59 – $51.51)

Most-billed visit code 99205

Established Patient

$121.77 typical visit price

range $23.96 – $169.60

Typical copayment $30.44 (range $5.99 – $42.40)

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 5

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

TAMARA BARBOZA OTD, OTR/L

Occupational Therapist

3801 MIRANDA AVE., BUILDING 100, ROOM A4-176
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

VA PALO ALTO HEALTH CARE SYSTEM

Military Hospital

3801 MIRANDA AVE., VA PALO ALTO HEALTH CARE SYSTEM, CARDIOLOGY 111C
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

WILLIAM OTTO FAUSTMAN PH.D.

Psychologist (Clinical)

3801 MIRANDA AVE., PSYCHOLOGY SERVICE 116B
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

MS. SHANON STOUS

Physician Assistant

3801 MIRANDA AVE., NEUROSURGERY DEPT. #112
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

DR. SHADY TAWFIK PHARM.D.

Pharmacist

3801 MIRANDA AVE., PHARMACY 119
PALO ALTO, CA 94304

Santa Clara County (650) 493-5000

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 Jon Fuller's NPI number?

The NPI number for Jon Fuller is 1245270412. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Jon Fuller located?

Jon Fuller practices at 3801 Miranda Ave. VA Palo Alto Hcs, Palo Alto, CA 94304. The listed phone number is (650) 493-5000.

What is Jon Fuller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Jon Fuller enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jon Fuller was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.