DR. HEATHER J. FULLERTON MD
NPI 1508916107
Psychiatry & Neurology - Child & Adolescent Psychiatry in San Francisco, CA
About Dr. Heather J. Fullerton Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HEATHER J. FULLERTON MD (NPI 1508916107) is an individual child & adolescent psychiatry provider in San Francisco, California, licensed in California (A67954) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Heather J. Fullerton Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Heather Fullerton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
SAN FRANCISCO, CA 94143
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 Heather Fullerton's NPI number?
The NPI number for Heather Fullerton is 1508916107. It was assigned to this individual provider in the NPPES registry on January 12, 2007.
Where is Heather Fullerton located?
Heather Fullerton practices at 505 Parnassus Ave, San Francisco, CA 94143. The listed phone number is (415) 353-3681.
What is Heather Fullerton's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Heather Fullerton enrolled in Medicare?
Yes. Heather Fullerton is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Heather Fullerton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Fullerton reassigns Medicare benefits to 2 organizations: University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, 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 Heather Fullerton'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 Heather Fullerton was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Dr. Heather J. Fullerton, MD · NPI 1508916107
Child & Adolescent Psychiatry physician in San Francisco, California. Individual provider, active in the CMS NPPES registry since January 12, 2007.
## Identity
- **NPI:** 1508916107 (Entity type: Individual)
- **Enumerated:** January 12, 2007
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** A67954 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 505 PARNASSUS AVE, San Francisco, CA 94143-2204
- **Phone:** (415) 353-3681
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2007
- **Other identifiers:** Medicaid 00A679540 (CA); Medicare PIN 00A679540 (CA); Medicare UPIN H56838 (CA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1508916107) · Data from the CMS NPPES public registry.