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BENJAMIN FULLER ATC
NPI 1407400799
Specialist/Technologist - Athletic Trainer in Azusa, CA

Active since July 25, 2019
701 E FOOTHILL BLVD, AZUSA, CA 91702(626) 815-6000(626) 815-5442 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin Fuller Atc NPPES

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

BENJAMIN FULLER ATC (NPI 1407400799) is an individual athletic trainer provider in Azusa, California and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1407400799
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameBENJAMIN FULLERCredential: ATC
Location Address701 E FOOTHILL BLVDAzusa, CA 91702-2606
Mailing AddressPo Box 7000Azusa, CA 91702-7000 · (626) 815-6000 · Fax (626) 815-5442
Phone(626) 815-6000
Fax(626) 815-5442
Sole ProprietorNo
Enumeration DateJuly 25, 2019
✔ NPI 1407400799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
701 E FOOTHILL BLVD, Azusa, CA 91702
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Other Providers at the Same Location NPPES 15

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

WEI ZHANG SHERMAN RN
Family Medicine
701 E FOOTHILL BLVD
AZUSA, CA 91702
Los Angeles County (626) 969-3434
CARLOS BENEDICT GONZALEZ
Student in an Organized Health Care Education/Training Program
701 E FOOTHILL BLVD
AZUSA, CA 91702
Los Angeles County (323) 246-7818
IRINA THOMAS NP
Nurse Practitioner (Family)
701 E FOOTHILL BLVD
AZUSA, CA 91702
Los Angeles County (626) 815-5386
MRS. CATHERINE WILDE MCPHEE FNP
Rehabilitation Hospital
701 E FOOTHILL BLVD
AZUSA, CA 91702
Los Angeles County (626) 815-5011
CHRISTY HANCOCK
Specialist/Technologist (Athletic Trainer)
701 E FOOTHILL BLVD
AZUSA, CA 91702
Los Angeles County (626) 815-6000
JONATHON KROHN
Student in an Organized Health Care Education/Training Program
701 E FOOTHILL BLVD
AZUSA, CA 91702
Los Angeles County (612) 461-5562
LAUREN ROWLEY
Registered Nurse
701 E FOOTHILL BLVD
AZUSA, CA 91702
Los Angeles County (626) 815-5398
ALICE FOK
Student in an Organized Health Care Education/Training Program
701 E FOOTHILL BLVD, UNIT 1384
AZUSA, CA 91702
Los Angeles County (626) 905-7455

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 Benjamin Fuller's NPI number?

The NPI number for Benjamin Fuller is 1407400799. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is Benjamin Fuller located?

Benjamin Fuller practices at 701 E Foothill Blvd, Azusa, CA 91702. The listed phone number is (626) 815-6000.

What is Benjamin Fuller's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Benjamin Fuller was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.