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Deactivated NPI 1295806446 Deactivated / Inactive NPI Female Practitioner

Tarnie Fulloon , PT

Specialist • Altadena, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tarnie Fulloon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 10, 2006
NPI Deactivation Date March 01, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Tarnie Fulloon, PT was a registered Specialist practicing in Altadena, CA. Throughout an active medical career spanning 17 years, Tarnie Fulloon provided care at the practice location at 1207 MORADA PL until profile deactivation on 2023-03-01.

Practice Location & Contact Primary Location

Practice Address

1207 Morada Pl

Altadena, CA 910013141

Telephone 6262962032
Fax 6262962032

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Altadena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Altadena, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA 22552

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 01, 2023

Record deactivated on March 01, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1207 MORADA PL, ALTADENA, CA 910013141 (Tel: 6262962032)

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Updated Business Mailing Address July 08, 2007

Registered at 2118 WILSHIRE BLVD # 341, SANTA MONICA, CA 904035704 (Tel: 6262962032)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TARNIE FULLOON, P.T.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #22552 in CA)

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Initial NPI Registration & Enumeration November 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295806446
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2006
Last Update: July 08, 2007
Deactivation Date: March 01, 2023

Mailing Address

2118 Wilshire Blvd # 341

Santa Monica, CA 904035704

Phone: 6262962032

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.