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

Dr. Clark Beeman Fuller, MD

Individual provider Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1790890341

Dr. Clark Beeman Fuller, MD is a Thoracic Surgery in Los Angeles, California. Graduated from Creighton University School of Medicine in 1987, 39 years ago. Practices with Cedars-Sinai Medical Care Foundation, a 1,696-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
39
Trained at
Creighton University School of Medicine
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

8635 W 3rd St Ste 975W
Los Angeles, CA 90048-6101
Phone: (310) 652-0530
Fax: (310) 652-9936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence G76647 (CA)
Specialist Taxonomy 174400000X · Licence G76647 (CA)

Record details

NPI number1790890341
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESApril 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyTHORACIC SURGERY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Cedars-Sinai Medical Care Foundation — 1696 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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