BRIAN FULLGRAF
NPI 1851988745
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Brian Fullgraf's NPI number?

The NPI number for Brian Fullgraf is 1851988745. It was assigned to this individual provider in the NPPES registry on December 25, 2020.

Q: What is Brian Fullgraf's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Brian Fullgraf was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 December 25, 2020

3947 LENNANE DR STE 110, SACRAMENTO, CA 95834(916) 283-8280 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2023, Dec 25, 2020 (2 updates tracked since 2020).

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About Brian Fullgraf NPPES

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

BRIAN FULLGRAF (NPI 1851988745) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1851988745

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRIAN FULLGRAF

Location Address3947 LENNANE DR STE 110Sacramento, CA 95834-1971

Mailing Address3947 Lennane Dr Ste 110Sacramento, CA 95834-1971

Phone(916) 283-8280

Sole ProprietorNo

Enumeration DateDecember 25, 2020

Last NPPES UpdateAugust 27, 20242 updates tracked since enumeration

NPPES CertifiedAugust 27, 2024

✔ NPI 1851988745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedEmergency Medical Technician, ParamedicTaxonomy 146L00000X · License 78707 (NV)

Also ListedCommunity Health WorkerTaxonomy 172V00000X · License CHW1-5089 (NV)

Also ListedPeer SpecialistTaxonomy 175T00000X · License PRSS-INT-5020 (NV)

3947 LENNANE DR STE 110, Sacramento, CA 95834

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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.

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