Dr. Shandi Joycelyn Fuller
MD | Pediatrics | Female
Dr. Shandi Joycelyn Fuller, MD is a Berkeley, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Shandi Joycelyn Fuller is
1918 Bonita Ave Ste 200, Berkeley, California - 94704-1014. She can be contacted on phone at
510-939-1300.
Dr. Shandi Joycelyn Fuller is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Shandi Joycelyn Fuller is
1225285034 which was assigned by NPPES on 22 Aug, 2008 and it was last updated on 14 Jun, 2022.
Dr. Shandi Joycelyn Fuller license number is
A117119 for Pediatrics (208000000X) in California.
Dr. Shandi Joycelyn Fuller is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Shandi Joycelyn Fuller basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Shandi Joycelyn Fuller |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Dr. Shandi Joycelyn Fuller address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1918 Bonita Ave Ste 200
Berkeley, CA, 94704-1014
United States |
|---|
| Phone Number : | 510-939-1300 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1225285034 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 22 Aug, 2008 |
|---|
| Last Updated On : | 14 Jun, 2022 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shandi Joycelyn Fuller are as mentioned. Primary taxonomy code for Dr. Shandi Joycelyn Fuller, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A117119 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Shandi Joycelyn Fuller such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 97347 | Other | NC | CERTIFICATION |
| A117119 | Other | CA | LICENSE |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
2201 COURAGE DR,
FAIRFIELD, CA, 94533-6733
United States | FAIRFIELD, CA | 707-784-8348 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1918 Bonita Ave Ste 200
Berkeley, CA, 94704-1014
United States |
|---|
| Phone Number : | 105-939-1300 |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Shandi Joycelyn Fuller practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.