Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Fuller, ATC

Individual provider Athletic Trainer · NPI 1407400799

Benjamin Fuller, ATC is an Athletic Trainer in Azusa, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

701 E Foothill Blvd
Azusa, CA 91702-2606
Phone: (626) 815-6000
Fax: (626) 815-5442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1407400799
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESJuly 25, 2019
Mailing addressPo Box 7000, Azusa, CA 91702-7000

Other providers in Azusa