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

Patrick Fulgencio

Individual provider Family Medicine Physician · NPI 1205354073

Patrick Fulgencio is a Family Practice in Downey, California. Qualified in 2017, 9 years ago. Practices with PIH Health Physicians, a 614-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2017
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Practice location Address checks out

11500 Brookshire Ave
Downey, CA 90241-4917
Phone: (562) 904-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A17169 (CA)

Record details

NPI number1205354073
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 31, 2017
Last updated in NPPESJuly 14, 2020
Certification dateJuly 14, 2020
Mailing address6105 Orangegate Dr, Yorba Linda, CA 92886-5217

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Pih Health Physicians — 614 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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