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

Bertram Fuller, PAC

Individual provider Surgical Physician Assistant · NPI 1073793691

Bertram Fuller, PAC is a Surgical Physician Assistant in Downey, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

7033 Stewart And Gray Rd Unit 38
Downey, CA 90241-4355
Phone: (562) 927-0677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA 14719 (CA)

Record details

NPI number1073793691
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 12, 2007
Last updated in NPPESNovember 12, 2007
Mailing addressPo Box 4808, Downey, CA 90241-1808

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