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SANDRA FULLER NP
NPI 1487335105
Nurse Practitioner - Family in Huntington Park, CA

Active since July 26, 2023
3203 E FLORENCE AVE, HUNTINGTON PARK, CA 90255(213) 458-0649 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Jul 26, 2023 (2 updates tracked since 2023).

About Sandra Fuller Np NPPES

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

SANDRA FULLER NP (NPI 1487335105) is an individual family provider in Huntington Park, California, licensed in California (NP95025672) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1487335105
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA FULLERCredential: NP
Location Address3203 E FLORENCE AVEHuntington Park, CA 90255-5831
Mailing Address1223 W 61st StLos Angeles, CA 90044-2711 · (213) 458-0649
Phone(213) 458-0649
Sole ProprietorYes
Enumeration DateJuly 26, 2023
Last NPPES UpdateAugust 10, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1487335105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · NP95025672
3203 E FLORENCE AVE, Huntington Park, CA 90255
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Other Providers at the Same Location NPPES 3

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

RAQUEL GUEVARRA NP
Nurse Practitioner (Family)
3203 E FLORENCE AVE
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 835-6310
EDNA SARINO NP, FNP-C
Nurse Practitioner (Family)
3203 E FLORENCE AVE
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 835-6310
UNICARE COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
3203 E FLORENCE AVE
HUNTINGTON PARK, CA 90255
Los Angeles County (323) 835-6358

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 Sandra Fuller's NPI number?

The NPI number for Sandra Fuller is 1487335105. It was assigned to this individual provider in the NPPES registry on July 26, 2023.

Where is Sandra Fuller located?

Sandra Fuller practices at 3203 E Florence Ave, Huntington Park, CA 90255. The listed phone number is (213) 458-0649.

What is Sandra Fuller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sandra Fuller was last updated on August 10, 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.