Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES O FULLENWIDER, M.D.
ActiveCHARLES O FULLENWIDER, M.D. is a Pain Medicine (Anesthesiology) healthcare provider located in SAN DIEGO, California. NPI 1417299298 is currently active in the NPPES registry. Verify at CMS.
Pain Medicine (Anesthesiology) · SAN DIEGO, CA
Registration Details
- NPI Number
- 1417299298
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2013 (13.397499026315 yrs)
- Last Updated
- May 27, 2025
- Licenses
-
31587 (OK)31587 (OK)
Practice Information
- Address
-
34800 BOB WILSON DRSAN DIEGO, CA, 921341098Browse CA providers · Browse ZIP 92134
- Phone
- 6195328937
- Primary Specialty
-
Pain Medicine (Anesthesiology)
207LP2900X
- Additional Specialty
- Anesthesiology
- Additional Specialty
- Student (Health Education/Training)
Other Pain Medicine (Anesthesiology) Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| CLAYTON ALEXANDER VARGA | MD | 1629060694 |
| DOUGLAS ARTHUR DOBECKI JR. | M.D. | 1346213329 |
| DR. JOHN SCHILLER GILLICK | MD, MPH | 1609845700 |
| DR. KEVIN TODD TOLIVER | M.D. | 1346202850 |
| DR. MARK S WALLACE | MD | 1427098102 |
| MICHAEL J HUNTLEY | MD | 1295762078 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.