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

Dr. Kevin L. Fulford, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1063594612

Dr. Kevin L. Fulford, MD is an Obstetrics/Gynecology in LA Mesa, California. Graduated from Loma Linda University School of Medicine in 1997, 29 years ago. Practices with Obhg Colorado PC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
29
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2006
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

5555 Grossmont Center Dr
LA Mesa, CA 91942-3019
Phone: (619) 704-4966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 400 N Highland Ave, Murfreesboro, TN 37130-3837 — (615) 396-4100

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence A66474 (CA)

Record details

NPI number1063594612
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESJanuary 3, 2020
Certification dateJanuary 3, 2020

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Obhg Colorado Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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