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

Samuel Aaron Fullmer

Individual provider Family Nurse Practitioner · NPI 1609600600

Samuel Aaron Fullmer is a Nurse Practitioner in Oakland, California. Qualified in 2016, 10 years ago. Practices with Native American Health Center Inc, a 35-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
10
Licensed in
CA, NY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2950 International Blvd
Oakland, CA 94601-2228
Phone: (510) 535-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP95034962 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 355097 (NY)

Record details

NPI number1609600600
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 30, 2024
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Native American Health Center Inc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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