Jamison Derek Feramisco
General Practice Physician
1125 Sir Francis Drake Blvd
Kentfield
, California 94904
Jamison Derek Feramisco
General Practice Physician
1125 Sir Francis Drake Blvd
Kentfield
, California 94904
(877) 882-0462
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Jamison Derek Feramisco
- 31566 Railroad Canyon Road 2-130
- Canyon Lake, CA
- Zip : 92587-9446
- Fax : (877) 882-0462
- Phone : (877) 870-9301
Second Address
- Jamison Derek Feramisco
- 1125 Sir Francis Drake Blvd
- Kentfield, CA
- Zip : 94904
- Fax : (415) 485-3622
- Phone : (415) 456-9680
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | A105161 | CA |
National Provider Identifier
| NPI | 1043410871 |
|---|---|
| Provider Name | Jamison Derek Feramisco |
| First Address | Canyon Lake, CA 92587-9446 |
| Second Address | Kentfield, CA 94904 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2007 |
| Last Update Date | 19/07/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.