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

Jay M. Fuller, PT

Individual provider Occupational Medicine Physician · NPI 1912167040

Jay M. Fuller, PT is an Occupational Medicine Physician in LA Palma, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

26 Centerpointe Dr Ste 115
LA Palma, CA 90623-1072
Phone: (714) 522-8020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Medicine Physician (primary) Taxonomy 2083X0100X · Licence 3551 (CA)

Record details

NPI number1912167040
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJune 12, 2008
Last updated in NPPESJune 12, 2008
Mailing address5080 Spectrum Dr, Suite 1200 West, Addison, TX 75001-4648

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