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Search › California › 363LF0000X

Samuel Fullmer

NPI 1609600600 · on the registry since 2024

Practice

Address
2950 International Blvd
Oakland, CA 94601
Phone
(510) 535-4400
Organisation at this address
Ami Healthcare Staffing
Native American Health Center Inc
Native American Health Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
123

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
NY, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California