Search › California › 101YA0400X
Cristal Fuller
NPI 1790651727 · on the registry since 2025
Practice
- Address
- 1235 Mchenry Ave Ste A
Modesto, CA 95350 - Phone
- (209) 527-4597
- Organisation at this address
- Aegis Treatment Centers, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 126
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 390200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California