Ian Fetterolf, MA, MSW
NPI 1043736358 · Student in an Organized Health Care Education/Training Program · La Jolla, CA
Ian Fetterolf, MA, MSW is a Student in an Organized Health Care Education/Training Program provider in La Jolla, CA (NPI 1043736358).
Provider details
- NPI number
- 1043736358
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MA, MSW
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1436 Goodrich BlvdCommerce, CA 90022-5111Phone: (323) 832-9795
- 777 Fay AvenueSuite #205La Jolla, CA 92037Phone: (415) 646-4506
Registry dates
- Enumerated
- 2017-08-17
- Last updated
- 2022-07-21
- Certified
- 2022-04-23
Frequently asked questions
- What is Ian Fetterolf's NPI number?
- Ian Fetterolf's National Provider Identifier (NPI) is 1043736358, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ian Fetterolf's specialty?
- Ian Fetterolf is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Ian Fetterolf located?
- Ian Fetterolf's practice location on file with NPPES is 7777 Fay Ave Ste 205, La Jolla, CA 92037-4324.
- What is Ian Fetterolf's phone number?
- The practice phone number listed in the NPPES registry for Ian Fetterolf is (415) 646-4506.
- Is Ian Fetterolf's NPI active?
- Yes — Ian Fetterolf's NPI (1043736358) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.