DR. CATHERINE G FULLER M.D.
NPI 1851349120
Allergy & Immunology in Los Angeles, CA

Active since May 05, 2006Opted out of Medicare · through Sep 24, 2027
11645 WILSHIRE BLVD, SUITE 1150, LOS ANGELES, CA 90025(310) 828-7978(310) 909-1911 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Catherine G Fuller M.d. NPPES

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

DR. CATHERINE G FULLER M.D. (NPI 1851349120) is an individual allergy & immunology provider in Los Angeles, California, licensed in California (A43782) and active in the NPI registry since May 2006. She has opted out of Medicare through September 24, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1851349120
Entity TypeIndividualFemale
Primary Taxonomy207K00000X
Provider Legal NameDR. CATHERINE G FULLERCredential: M.D.
Location Address11645 WILSHIRE BLVD, SUITE 1150Los Angeles, CA 90025-1708
Mailing Address11645 Wilshire Blvd, Suite 1150Los Angeles, CA 90025-1708 · (310) 828-7978 · Fax (310) 909-1911
Fax(310) 909-1911
Sole ProprietorNo
Enumeration DateMay 5, 2006
Last NPPES UpdateJuly 8, 2010
NPI 1851349120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License Licensed in CA · A43782
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
11645 WILSHIRE BLVD, Los Angeles, CA 90025

Other Identifiers 3

Medicare UPINF14584CA
OtherWA43782FCA · Ptan
Medicare ID-Type UnspecifiedA43782CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Catherine G Fuller M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 24, 2015 through September 24, 2027.

Opt-Out Effective DateSeptember 24, 2015
Opt-Out In Effect ThroughSeptember 24, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers15 claims42 services$17.37 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
2 suppliers12 claims66 services$2.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist
11645 WILSHIRE BLVD, SUITE 703
LOS ANGELES, CA 90025
Specialist
11645 WILSHIRE BLVD, SUITE # 600
LOS ANGELES, CA 90025
Legal Medicine
11645 WILSHIRE BLVD, SUITE 825
LOS ANGELES, CA 90025
Dermatology
11645 WILSHIRE BLVD, SUITE 1080
LOS ANGELES, CA 90025
Dermatology
11645 WILSHIRE BLVD, #800
LOS ANGELES, CA 90025
Internal Medicine
11645 WILSHIRE BLVD, SUITE 901
LOS ANGELES, CA 90025
Psychologist (Clinical)
11645 WILSHIRE BLVD, SUITE #1100
LOS ANGELES, CA 90025
Specialist
11645 WILSHIRE BLVD, SUITE 1090
LOS ANGELES, CA 90025

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 Catherine Fuller's NPI number?

The NPI number for Catherine Fuller is 1851349120. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Catherine Fuller located?

Catherine Fuller practices at 11645 Wilshire Blvd Suite 1150, Los Angeles, CA 90025. The listed phone number is (310) 828-7978.

What is Catherine Fuller's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Catherine Fuller enrolled in Medicare?

No. Catherine Fuller has opted out of Medicare through September 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Catherine Fuller was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.