1. Home
  2. Directory
  3. California
  4. San Andreas
  5. Counselor
  6. NPI Profile

ROBERT R FULGHAM SUDCC II
NPI 1306984778
Counselor - Addiction (Substance Use Disorder) in San Andreas, CA

Active since February 01, 2007
590 TOYANZA DRIVE, SAN ANDREAS, CA 95249(209) 754-6555 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert R Fulgham Sudcc Ii NPPES

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

ROBERT R FULGHAM SUDCC II (NPI 1306984778) is an individual addiction (substance use disorder) provider in San Andreas, California and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1306984778
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameROBERT R FULGHAMCredential: SUDCC II
Location Address590 TOYANZA DRIVESan Andreas, CA 95249-9713
Mailing Address590 Toyanza DriveSan Andreas, CA 95249-9713 · (209) 754-6555
Phone(209) 754-6555
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1306984778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
590 TOYANZA DRIVE, San Andreas, CA 95249
Open in Google Maps ↗

Other Providers at the Same Location NPPES 11

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

COUNTY OF CALAVERAS
Clinic/Center (Rehabilitation, Substance Use Disorder)
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6525
CARLEY MARTIN
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6572
LYNDSI MARIE HOUSE SUDRC I
Counselor (Addiction (Substance Use Disorder))
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-2833
JOSHUA DAVID CHRISTIE SUDRC I
Counselor (Addiction (Substance Use Disorder))
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6555
CHARLENE HERNANDEZ
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (951) 543-0031
CALAVERAS COUNTY SUBSTANCE ABUSE PROGRAM
Clinic/Center (Rehabilitation, Substance Use Disorder)
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6555
CYNTHIA ANN LOPEZ
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6525
JESUS GONZALES
Rehabilitation Practitioner
590 TOYANZA DRIVE
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6813

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 Robert Fulgham's NPI number?

The NPI number for Robert Fulgham is 1306984778. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Robert Fulgham located?

Robert Fulgham practices at 590 Toyanza Drive, San Andreas, CA 95249. The listed phone number is (209) 754-6555.

What is Robert Fulgham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Robert Fulgham was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.