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

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: October 18, 2026.

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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Medicare Participation & PECOS CMS

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

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

Medicare Billing Reassignments

2

Medicare enrollment records show Zackary Fulks reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neighborhood Healthcare
20 mi
Federally Qualified Health Center (FQHC)
460 N ELM ST
Escondido, CA 92025
  • Reassigned Medicare billing, California enrollment
  • 332 clinicians in this Medicare group
NPI 1598703647 (760) 520-8100
Khodabakhshian Chiropractic Inc
145 mi
Chiropractor
325 E ROLLING OAKS DR STE 250
Thousand Oaks, CA 91361
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1366521106 (805) 230-2673

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 11

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

JOSHUA GUNPAT
Family Medicine
10039 VINE ST
LAKESIDE, CA 92040
San Diego County (833) 867-4642
KEELY K DAHMS
Counselor (Mental Health)
10039 VINE ST
LAKESIDE, CA 92040
San Diego County (833) 867-4642
NATHAN MCFARLAND M.D
Internal Medicine
10039 VINE ST
LAKESIDE, CA 92040
San Diego County (619) 390-9975
CHRISTINE PHAM DO
Family Medicine
10039 VINE ST
LAKESIDE, CA 92040
San Diego County (619) 390-9975
JESSICA N OLIVER
Dental Hygienist
10039 VINE ST
LAKESIDE, CA 92040
San Diego County (833) 867-4642
ELIZABETH MANNINO M.D
Family Medicine
10039 VINE ST
LAKESIDE, CA 92040
San Diego County (619) 390-9975
MATHEW MAZO REYNOLDS
Physician Assistant
10039 VINE ST
LAKESIDE, CA 92040
San Diego County (833) 867-4642
CHRISTINE CORADO HOLMAN NURSE PRACTITIONER
Nurse Practitioner
10039 VINE ST
LAKESIDE, CA 92040
San Diego County (833) 867-4642

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 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.

Where is Zackary Fulks located?

Zackary Fulks practices at 10039 Vine St, Lakeside, CA 92040. The listed phone number is (833) 867-4642.

What is Zackary Fulks's specialty?

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

Is Zackary Fulks enrolled in Medicare?

Yes. Zackary Fulks is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Zackary Fulks's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zackary Fulks reassigns Medicare benefits to 2 organizations: Neighborhood Healthcare (Escondido, CA) and Khodabakhshian Chiropractic Inc (Thousand Oaks, CA). Each 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 Zackary Fulks'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 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.