Jack G. Fuller, PA-C
Physician Assistant · Los Angeles, CA
Jack G. Fuller, PA-C is a physician assistant with a practice address in Los Angeles, California, and NPI 1376596668, issued on May 18, 2006. Check the license (California PA12536, as entered in NPPES) with the California board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jack G. Fuller
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA12536 CA
Self-reported in NPPES; status is on the state search - Practice location
- 1225 Wilshire Boulevard, Los Angeles, CA 90017
- Phone
- (213) 977-2423
- Enumerated
- May 18, 2006
- Record last updated
- Jul 9, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (213) 202-7028
- Medicaid ID
- PA12536 CA
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 14,451 in California → Look up another NPI →
Also registered at 1225 Wilshire Boulevard
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Jack G. Fuller in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license PA12536Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jack G. Fuller among 14,451 physician assistant records in California
Jack G. Fuller, PA-C is one of 14,451 physician assistant records with a practice address in California. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2006, is newer than 1% of them.
- NPI issued2006 · 1% of these records are older, 87% newer
- In a Medicare fileNo · 75% of these records are
- In the CMS Doctors and Clinicians fileNo · 50% of these records are
- Record last updated2007 · 40% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
935 physician assistant records list a practice address in Los Angeles
They are 935 of the 69,537 NPPES records with a practice address in Los Angeles, and 14,451 physician assistant records in California. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 14,451 in California → Every provider in Los Angeles → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Mari Abdulian, PA-CLos Angeles, CA 900171629307947
- Arturo Castro, PALos Angeles, CA 900171699867085
- Dominick D'Antuono, PA-CLos Angeles, CA 900171801898341
- Charles Edward, PA-CLos Angeles, CA 900171366711558
- Christopher-Michael Gale, RPA-CLos Angeles, CA 900171790086916
- John Giannini, PALos Angeles, CA 900171336262070
- Tony Hankerson, PA-CLos Angeles, CA 900171770619009
- Barbara JonesLos Angeles, CA 900171891865887
Common questions
What is Jack G. Fuller, PA-C's NPI number?
Jack G. Fuller, PA-C's National Provider Identifier (NPI) is 1376596668, issued on May 18, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jack G. Fuller, PA-C located?
The NPPES record lists a practice address at 1225 Wilshire Boulevard, Los Angeles, CA, 90017. Phone: (213) 977-2423. Providers update this record themselves, so call before visiting.
How can I verify Jack G. Fuller, PA-C's license?
NPPES lists California license number PA12536, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.