TIERRA FULLER
NPI 1669946372
Rehabilitation Practitioner in View Park, CA

Active since January 15, 2019
5300 ANGELES VISTA BLVD, VIEW PARK, CA 90043(323) 295-4555 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2019, Jan 15, 2019 (2 updates tracked since 2019).

About Tierra Fuller NPPES

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

TIERRA FULLER (NPI 1669946372) is an individual rehabilitation practitioner in View Park, California and active in the NPI registry since January 2019. She maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1669946372
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameTIERRA FULLER
Location Address5300 ANGELES VISTA BLVDView Park, CA 90043
Mailing Address5300 Angeles Vista BlvdView Park, CA 90043-1648 · (323) 295-4555
Sole ProprietorYes
Enumeration DateJanuary 15, 2019
Last NPPES UpdateJune 12, 20192 updates tracked since enumeration
NPI 1669946372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
5300 ANGELES VISTA BLVD, View Park, CA 90043

Secondary Practice Location 1

Location 15201 S Vermont AveLos Angeles, CA 90037-3527 · Phone (323) 751-3026

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.

Clinic/Center (Multi-Specialty)
5300 ANGELES VISTA BLVD
VIEW PARK, CA 90043
Rehabilitation Practitioner
5300 ANGELES VISTA BLVD
VIEW PARK, CA 90043
Rehabilitation Practitioner
5300 ANGELES VISTA BLVD
VIEW PARK, CA 90043
Student in an Organized Health Care Education/Training Program
5300 ANGELES VISTA BLVD
LOS ANGELES, CA 90043
Social Worker (Clinical)
5300 ANGELES VISTA BLVD
LOS ANGELES, CA 90043
Marriage & Family Therapist
5300 ANGELES VISTA BLVD
VIEW PARK, CA 90043
Social Worker (Clinical)
5300 ANGELES VISTA BLVD
VIEW PARK, CA 90043
Counselor (Mental Health)
5300 ANGELES VISTA BLVD
LOS ANGELES, CA 90043

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 Tierra Fuller's NPI number?

The NPI number for Tierra Fuller is 1669946372. It was assigned to this individual provider in the NPPES registry on January 15, 2019.

Where is Tierra Fuller located?

Tierra Fuller practices at 5300 Angeles Vista Blvd, View Park, CA 90043. The listed phone number is (323) 295-4555.

What is Tierra Fuller's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Tierra Fuller was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.