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

Dr. Zackary Cusati Fulks, DC

Individual provider Chiropractor · NPI 1407562531

Dr. Zackary Cusati Fulks, DC is a Chiropractic in Lakeside, California. Graduated from Palmer College Chiropractic - West Sunnyvale in 2022, 4 years ago. Practices with Khodabakhshian Chiropractic Inc, a 5-clinician group. Licensed in California.

Years since qualifying
4
Trained at
Palmer College Chiropractic - West Sunnyvale
Licensed in
CA
In the registry since
2023
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

10039 Vine St
Lakeside, CA 92040-3120
Phone: (833) 867-4642
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC36546 (CA)

Record details

NPI number1407562531
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 9, 2023

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolPALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduated 2022 (4 years in practice)
Group practice Khodabakhshian Chiropractic Inc — 5 clinicians
Accepts Medicare assignment Not indicated

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