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

Jennifer Carroll Fuller

Individual provider Otolaryngology Physician · NPI 1902149933

Jennifer Carroll Fuller is an Otolaryngology in Loma Linda, California. Graduated from University of California, Geffen School of Medicine in 2013, 13 years ago. Practices with Faculty Physicians and Surgeons of Llusm, a 1,308-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Minnesota.

Years since qualifying
13
Trained at
University of California, Geffen School of Medicine
Licensed in
CA, MN
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

11234 Anderson St # 2586A
Loma Linda, CA 92354-2804
Phone: (909) 558-7884
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence A160366 (CA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 63479 (MN)

Record details

NPI number1902149933
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2013
Last updated in NPPESJuly 10, 2019

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesGENERAL SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Faculty Physicians And Surgeons Of Llusm — 1308 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Loma Linda