DR. ZACKARY CUSATI FULKS DC
NPI 1407562531
Chiropractor in Lakeside, CA

Q: What is Zackary Fulks's NPI number?

The NPI number for Zackary Fulks is 1407562531. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Q: What is Zackary Fulks's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Zackary Fulks was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 23, 2023

10039 VINE ST, LAKESIDE, CA 92040(833) 867-4642 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Zackary Cusati Fulks Dc NPPES

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

DR. ZACKARY CUSATI FULKS DC (NPI 1407562531) is an individual chiropractor in Lakeside, California, licensed in California (DC36546) and active in the NPI registry since January 2023. He is a graduate of Palmer College Chiropractic - West Sunnyvale (2022).

NPPES Registry Identity

NPI1407562531

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. ZACKARY CUSATI FULKSCredential: DC

Location Address10039 VINE STLakeside, CA 92040-3120

Mailing Address2520 Northside Dr Apt 214San Diego, CA 92108-2794 · (925) 451-9375

Phone(833) 867-4642

Sole ProprietorNo

Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 2022

Enumeration DateJanuary 23, 2023

NPPES CertifiedJanuary 9, 2023

✔ NPI 1407562531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CA · DC36546

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

10039 VINE ST, Lakeside, CA 92040

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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. Zackary Cusati Fulks Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850747437

PECOS Enrollment IDI20231102002324

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.

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