Richard E Fulton, MD | |
2320 Bath St, Suite 208, Santa Barbara, CA 93105-4339 | |
(805) 682-7984 | |
(805) 569-2964 |
Full Name | Richard E Fulton |
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Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 2320 Bath St, Santa Barbara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043263775 | NPI | - | NPPES |
00G123240 | Medicaid | CA | |
00G123240 | Other | CA | BLUE SHIELD OF CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | G12324 (California) | Primary |
Entity Name | Cedars-sinai Imaging Medical Group A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922135359 PECOS PAC ID: 4981518313 Enrollment ID: O20031118001070 |
Mailing Address | Practice Location Address |
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Richard E Fulton, MD Po Box 15778, Irvine, CA 92623-5778 Ph: (949) 263-8620 | Richard E Fulton, MD 2320 Bath St, Suite 208, Santa Barbara, CA 93105-4339 Ph: (805) 682-7984 |
Dr. Donna E. Winingham, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2320 Bath Street,, Suite 113, Santa Barbara, CA 93105 Phone: 805-682-7744 Fax: 805-682-3321 | |
Sean Henry Novak, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2320 Bath St # 113, Santa Barbara, CA 93105 Phone: 805-682-7744 | |
Wonsuk Warren Suh, M.D., M.P.H. Radiology Medicare: Accepting Medicare Assignments Practice Location: 300 W Pueblo St, Santa Barbara, CA 93105 Phone: 805-682-7300 | |
Dr. Christopher Douglas Kuzminski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 400 W Pueblo St, Santa Barbara, CA 93105 Phone: 805-682-7111 Fax: 805-682-0793 | |
Dr. Jacob Lawrence Harter, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2320 Bath St # 113, Santa Barbara, CA 93105 Phone: 805-682-7744 | |
Daniel T Fox, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2320 Bath St, Suite 208, Santa Barbara, CA 93105 Phone: 805-682-7984 Fax: 805-569-2964 |