EVERETTE E. FUQUA III MD
NPI 1972651958
Pediatrics in Bellflower, CA

Q: What is Everette Fuqua's NPI number?

The NPI number for Everette Fuqua is 1972651958. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Q: What is Everette Fuqua's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Everette Fuqua was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since January 08, 2007PECOS Enrolled

9400 ROSECRANS AVE, BELLFLOWER, CA 90706(562) 461-3000 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Everette E. Fuqua Iii Md NPPES

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

EVERETTE E. FUQUA III MD (NPI 1972651958) is an individual pediatrics provider in Bellflower, California, licensed in California (G78382) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972651958

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameEVERETTE E. FUQUA IIICredential: MD

Location Address9400 ROSECRANS AVEBellflower, CA 90706-2246

Mailing Address9400 Rosecrans AveBellflower, CA 90706-2246 · (562) 461-3000

Phone(562) 461-3000

Sole ProprietorNo

Enumeration DateJanuary 8, 2007

Last NPPES UpdateNovember 29, 2021

✔ NPI 1972651958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · G78382

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

9400 ROSECRANS AVE, Bellflower, CA 90706

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Everette E. Fuqua Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Everette Fuqua reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

Same address

Health Maintenance Organization

9400 ROSECRANS AVE
Bellflower, CA 90706

Reassigned Medicare billing, California enrollment
Also billed through NPI 1396287082 (California)
13,921 clinicians in this Medicare group

NPI 1043242555 (562) 461-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90706 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KELLEY MABEL HWANG PHARMD

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