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Deactivated NPI 1114342128 Deactivated / Inactive NPI Male Practitioner

Gregory Fuller , CADDS

Case Management • Santa Ana, 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, Gregory Fuller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 27, 2014
NPI Deactivation Date June 11, 2021
Total Practice Duration ~7 Years of Practice (2014 – 2021)

Professional Overview & Biography Verified Profile Summary

Gregory Fuller, CADDS was a registered Case Management practicing in Santa Ana, CA. Throughout an active medical career spanning 7 years, Gregory Fuller provided care at the practice location at 1200 N MAIN ST until profile deactivation on 2021-06-11.

Practice Location & Contact Primary Location

Practice Address

1200 N Main St
Suite 200

Santa Ana, CA 927013640

Telephone 7144806677
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Management in Santa Ana, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Santa Ana, CA (468 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

Case Management Primary Specialty

NUCC Taxonomy Code: 251B00000X

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Maria Del Refugio Ruiz , LPT

Licensed Psychiatric Technician

NPI 1003905167
Laura Ruhl

Community Health Worker

NPI 1013156702
NPI 1023361185
Diann Apisakkul , RN

Registered Nurse - Community Health

NPI 1053592345

Registered Nurse

Lisa Tran

Marriage & Family Therapist

NPI 1053799858
Lisa Robison

Case Manager/Care Coordinator

NPI 1073956751

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 June 11, 2021

Record deactivated on June 11, 2021

NPI Profile Active July 23, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 23, 2015

Registered at 1200 N MAIN ST, SUITE 200, SANTA ANA, CA 927013640 (Tel: 7144806677)

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Updated Business Mailing Address July 23, 2015

Registered at PO BOX 11224, CARSON, CA 907491224 (Tel: 7144806767)

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Provider Name / Credentials Updated July 23, 2015

Recorded as GREGORY FULLER, C.A.D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2015

Case Management

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Initial NPI Registration & Enumeration February 27, 2014

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: 1114342128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2014
Last Update: July 23, 2015
Deactivation Date: June 11, 2021

Mailing Address

Po Box 11224

Carson, CA 907491224

Phone: 7144806767

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.