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ASHLEY M FULLER RD
NPI 1356816755
Dietitian, Registered in Los Gatos, CA

Active since October 11, 2018
14651 S BASCOM AVE STE 110, LOS GATOS, CA 95032(408) 358-3573 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2026, Nov 14, 2023, Sep 8, 2023 and 1 more (4 updates tracked since 2018).

About Ashley M Fuller Rd NPPES

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

ASHLEY M FULLER RD (NPI 1356816755) is an individual dietitian, registered in Los Gatos, California, licensed in (86039166) and active in the NPI registry since October 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356816755
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameASHLEY M FULLERCredential: RD
Location Address14651 S BASCOM AVE STE 110Los Gatos, CA 95032-2004
Mailing Address14651 S Bascom Ave Ste 110Los Gatos, CA 95032-2004 · (408) 358-3573
Phone(408) 358-3573
Sole ProprietorYes
Enumeration DateOctober 11, 2018
Last NPPES UpdateMarch 11, 20264 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1356816755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed · 86039166
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Also ListedNutritionistTaxonomy 133N00000X · License 7928390
14651 S BASCOM AVE STE 110, Los Gatos, CA 95032
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1750 Welch Rd Ste 214Palo Alto, CA 94304-1509 · Phone (650) 497-8000
Location 2750 Welch RdPalo Alto, CA 94304-1507 · Phone (650) 497-8000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley M Fuller Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Ashley Fuller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lpch Medical Group Div Of Lucile
18 mi
Children
725 WELCH RD
Palo Alto, CA 94304
  • Reassigned Medicare billing, California enrollment
  • 3,617 clinicians in this Medicare group
NPI 1417907940 (650) 498-6762

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

KATHLEEN LO MD
Pediatrics (Pediatric Gastroenterology)
14651 S BASCOM AVE STE 110
LOS GATOS, CA 95032
Santa Clara County (408) 358-3573

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 Ashley Fuller's NPI number?

The NPI number for Ashley Fuller is 1356816755. It was assigned to this individual provider in the NPPES registry on October 11, 2018.

Where is Ashley Fuller located?

Ashley Fuller practices at 14651 S Bascom Ave Ste 110, Los Gatos, CA 95032. The listed phone number is (408) 358-3573.

What is Ashley Fuller's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Ashley Fuller enrolled in Medicare?

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

Which organization bills Medicare for Ashley Fuller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Fuller reassigns Medicare benefits to Lpch Medical Group Div Of Lucile (Palo Alto, CA). The 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 Ashley Fuller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashley Fuller was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.