Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYLIE FULLER MD INC
NPI 1891473872
Obstetrics & Gynecology in Pomona, CA

Active since July 10, 2023
250 W BONITA AVE STE 100, POMONA, CA 91767(412) 327-1596 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2026, Nov 8, 2023, Jul 10, 2023 (3 updates tracked since 2023).

About Kylie Fuller Md Inc NPPES

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

KYLIE FULLER MD INC (NPI 1891473872) is a healthcare organization registered as an obstetrics & gynecology in Pomona, California and active in the NPI registry since July 2023. The organization maintains a secondary practice location in Pomona and lists Kylie A Fuller, Owner, as its authorized official.

NPPES Registry Identity

NPI1891473872
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameKYLIE FULLER MD INC
Location Address250 W BONITA AVE STE 100Pomona, CA 91767-1863
Mailing Address250 W Bonita Ave Ste 100Pomona, CA 91767-1863
Organization SubpartNo
Authorized OfficialKylie A FullerOwner · (909) 392-2002
Enumeration DateJuly 10, 2023
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
NPI 1891473872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
250 W BONITA AVE STE 100, Pomona, CA 91767

Secondary Practice Location 1

Location 1210 W Bonita Ave Ste 2Pomona, CA 91767-1865 · Phone (909) 392-2002

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
250 W BONITA AVE STE 100
POMONA, CA 91767
Obstetrics & Gynecology
250 W BONITA AVE STE 100
POMONA, CA 91767

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 Kylie Fuller MD Inc's NPI number?

The NPI number for Kylie Fuller MD Inc is 1891473872. It was assigned to this organization in the NPPES registry on July 10, 2023.

Where is Kylie Fuller MD Inc located?

Kylie Fuller MD Inc is located at 250 W Bonita Ave Ste 100, Pomona, CA 91767. The listed phone number is (412) 327-1596.

What is Kylie Fuller MD Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Kylie Fuller MD Inc was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.