Jack Fuller, PA-C
NPI 1376596668 · Physician Assistant · Los Angeles, CA
Jack Fuller, PA-C is a Physician Assistant provider in Los Angeles, CA (NPI 1376596668).
Provider details
- NPI number
- 1376596668
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA12536 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2007-07-09
Frequently asked questions
- What is Jack Fuller's NPI number?
- Jack Fuller's National Provider Identifier (NPI) is 1376596668, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Fuller's specialty?
- Jack Fuller is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jack Fuller located?
- Jack Fuller's practice location on file with NPPES is 1225 Wilshire Boulevard, Los Angeles, CA 90017-2395.
- What is Jack Fuller's phone number?
- The practice phone number listed in the NPPES registry for Jack Fuller is (213) 977-2423.
- Is Jack Fuller's NPI active?
- Yes — Jack Fuller's NPI (1376596668) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.