OMARU KEKETOMA FULLAH
NPI 1437283439
Case Manager/Care Coordinator in Los Angeles, CA

Q: What is Omaru Fullah's NPI number?

The NPI number for Omaru Fullah is 1437283439. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Q: What is Omaru Fullah's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Omaru Fullah was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since March 14, 2007

8836 S VERMONT AVE, LOS ANGELES, CA 90044(323) 593-5300 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 8, 2025, Jan 23, 2017, Dec 22, 2016 (3 updates tracked since 2016).

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About Omaru Keketoma Fullah NPPES

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

OMARU KEKETOMA FULLAH (NPI 1437283439) is an individual case manager/care coordinator provider in Los Angeles, California and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1437283439

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameOMARU KEKETOMA FULLAH

Location Address8836 S VERMONT AVELos Angeles, CA 90044-4832

Mailing Address8730 S Vermont AveLos Angeles, CA 90044-4830 · (323) 752-3026

Phone(323) 593-5300

Sole ProprietorNo

Enumeration DateMarch 14, 2007

Last NPPES UpdateMay 8, 20253 updates tracked since enumeration

NPPES CertifiedMay 8, 2025

✔ NPI 1437283439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedRehabilitation PractitionerTaxonomy 225400000X

8836 S VERMONT AVE, Los Angeles, CA 90044

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Other Providers at the Same Location NPPES 20

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

DANA K. MCDOWELL

Rehabilitation Practitioner

8836 S VERMONT AVE, 8836 S. VERMONT
LOS ANGELES, CA 90044

Los Angeles County (323) 751-3026

JASON ANTHONY BARRETT

Psychiatry & Neurology (Psychiatry)