KENNETH LEON FULLER JR. (NPI# 1851816755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851816755 |
| Entity Type | Individual |
| Full Name | MR. KENNETH LEON FULLER JR. |
| Gender | Male |
| Practice Address | 1965 Live Oak Blvd Yuba City CA 95991-8850 |
| Practice Telephone | 5308227200 |
| Mailing Telephone | 5308227200 |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2018-01-22 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | |||
| Y | 101YM0800X | Counselor Specialization: Mental Health | Behavioral Health & Social Service Providers |
| Street Address | 1965 LIVE OAK BLVD |
| City | YUBA CITY |
| State | CA |
| Zip Code | 95991-8850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609851757 | Charles William Maas | Psychiatry & Neurology · Psychiatry | 1965 Live Oak Blvd, Sutter-Yuba Mental Heath Youth Services, Yuba City, CA 95991 | 2005-12-13 |
| 1871181099 | Anabelle Valladares | Counselor · Mental Health | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2021-01-04 |
| 1023612934 | Melissa Garfias | Counselor · Mental Health | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-11-23 |
| 1376157768 | Consuelo E Sandoval-Esquivel | Counselor · Mental Health | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-09-02 |
| 1407460827 | Dan Reyes | Counselor · Mental Health | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-09-02 |
| 1225648553 | Jacob Charles Pupo | Counselor · Mental Health | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-08-02 |
| 1427666775 | Tamara Jordan | Counselor · Mental Health | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-07-22 |
| 1083230965 | Tiffany Madrigal | Counselor · Mental Health | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-06-17 |
| 1831714955 | Lisa Novak · Lisa Bordenkircher | Registered Nurse | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-06-15 |
| 1952923252 | Alexis Rickards | Counselor · Mental Health | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-05-11 |
| Find all providers in the same address | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073100996 | Lovdeep Kaur | Pharmacist | 3106 Railroad Ave, Yuba City, CA 95991-9229 | 2020-12-26 |
| 1700472263 | Yevgeniy Malykhin | Physical Therapist | 1528 Plumas Ct Ste 200, Yuba City, CA 95991-2973 | 2020-12-17 |
| 1912593013 | Kristin Jarvis | Specialist | 2846 Quail Pointe Dr, Yuba City, CA 95993-9681 | 2020-12-14 |
| 1710581970 | Aronpal Dhugga | Pharmacist | 1728 Vintage Ct, Yuba City, CA 95993-5178 | 2020-11-27 |
| 1154921427 | Alexie Mcpeters | Behavior Technician | 3601 Jefferson Ave, Yuba City, CA 95993-8729 | 2020-10-27 |
| 1831798941 | Gurjashan Singh Grewal | Behavior Technician | 3764 S Walton Ave, Yuba City, CA 95993-9229 | 2020-10-20 |
| 1477152585 | Kayla Irene Hickman | Behavior Technician | 750 Lincoln Rd Apt 41, Yuba City, CA 95991-6699 | 2020-10-20 |
| 1821696469 | Abby Rose Disney | Behavior Technician | 1022 Johnathan Dr, Yuba City, CA 95993-8112 | 2020-10-15 |
| 1346848181 | Margaret Li Cheng | Physical Therapist | 1103 Butte House Rd, Yuba City, CA 95991-3109 | 2020-10-14 |
| 1083212914 | Wellpath Community Care LLC | Community/Behavioral Health | 1352 Colusa Hwy Ste C, Yuba City, CA 95993-9147 | 2020-10-13 |
| Find all providers in YUBA CITY | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205348463 | Michael Shane Allen | 1525 Plumas Ct Ste D, Yuba City, CA 95991-2971 | 2017-10-27 | |
| 1477841211 | Jonathon Glen Lambson | 791 Queens Ave, Yuba City, CA 95991 | 2011-07-14 | |
| 1639347867 | Stephanie Catherine Fischer | 1585 Butte House Rd Ste C, Yuba City, CA 95993-2200 | 2008-02-11 | |
| 1164558136 | Katherine Atran Moore | 840 Olive St, Yuba City, CA 95991-3922 | 2007-02-26 | |
| 1245377431 | Jacquelyn Joan Stanfill | 809 Plumas St, Yuba City, CA 95991-4437 | 2007-01-30 | |
| 1871181099 | Anabelle Valladares | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2021-01-04 | |
| 1811591407 | Tarah Kalinen | 1525 Plumas Ct Ste C&d, Yuba City, CA 95991-2971 | 2020-11-24 | |
| 1023612934 | Melissa Garfias | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-11-23 | |
| 1578177838 | Ko Sue Yang | 1525 Plumas Ct Ste C&d, Yuba City, CA 95991-2971 | 2020-09-03 | |
| 1376157768 | Consuelo E Sandoval-Esquivel | 1965 Live Oak Blvd, Yuba City, CA 95991-8850 | 2020-09-02 | |
| Find all providers in YUBA CITY | ||||
| City | YUBA CITY |
| Zip Code | 95991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225656473 | Kenneth Julian Toussaint · Kenneth Toussaint | Social Worker | 304 Fuller Ter, Orange, NJ 07050-2414 | 2020-07-13 |
| 1750379996 | Kim Fuller | Psychologist · Clinical | 5665 Ponce De Leon Blvd, Room 213, Coral Gables, FL 33146-2510 | 2005-10-12 |
| 1184035198 | Kenneth Fuller Jr. | Occupational Therapy Assistant | 106 S Beverly St, Perry, FL 32348-5122 | 2014-05-13 |
| 1821073768 | A. Kenneth Fuller | Psychiatry & Neurology · Psychiatry | 1913 Smith Ave, Thomasville, GA 31792-5751 | 2005-12-14 |
| 1801024690 | Kenneth Cooper Mitchell | Dentist · General Practice | 516 Fuller Ave, Ste 2, Helena, MT 59601 | 2009-06-30 |
| 1538508163 | Kenneth Michael Fuller Jr. | Nurse Practitioner · Family | 518 Enchanted Hollow Dr, Spring, TX 77388-6108 | 2013-06-17 |
| 1326665670 | Kenneth Daniel Fuller | Massage Therapist | 9112 N Polk Ave, Portland, OR 97203-2320 | 2020-07-02 |
| 1487987855 | Kenneth James Sizemore | Registered Nurse | 2215 Fuller Rd, Ann Arbor, MI 48105-2303 | 2009-09-16 |
| 1053708164 | Kenneth Leon Dean Jr. | Obstetrics & Gynecology | 20 Arrowood Dr, Ithaca, NY 14850 | 2015-04-16 |
| 1922326727 | Kenneth Leon | Pediatrics | 2300 Westchester Ave, Bronx, NY 10462-5072 | 2010-05-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.