Organization Active NPI

Jim D. Fermo PHD

  • Physical Therapist
  • Chatsworth, CA
National Provider Identifier
1033763933
Registry record updated Jul 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JIM D. FERMO PHD
Practice address
19934 Lubao PL
Chatsworth, CA 91311-1818
Phone
(818) 326-9499
Fax
(818) 368-7670
NPI assigned
Jul 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jim D Fermo, PHDNPI 1346315942
Title
Director
Phone
(818) 326-9499

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

19934 Lubao PL
Chatsworth, CA 91311-1818

Mailing address

19934 Lubao PL
Chatsworth, CA 91311-1818
Phone (818) 326-9499

Other practice location 1

13637 Hawthorne Blvd
Hawthorne, CA 90250-5812
Phone (818) 326-9499

Other names 1

  • INDUSTRIAL QUALITY SERVICES Doing business as

National Provider Directory

National Provider Directory

Locations

13637 Hawthorne Blvd
Hawthorne, CA 90250
Phone (818) 326-9499

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564358400000",
    "number": "1033763933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19934 LUBAO PL",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913111818",
            "telephone_number": "818-326-9499",
            "fax_number": "818-368-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19934 LUBAO PL",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913111818",
            "telephone_number": "818-326-9499",
            "fax_number": "818-368-7670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13637 Hawthorne Blvd",
            "address_purpose": "LOCATION",
            "city": "Hawthorne",
            "state": "CA",
            "postal_code": "902505812",
            "country_code": "US",
            "telephone_number": "818-326-9499",
            "fax_number": "818-368-7670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JIM D. FERMO PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-29",
        "last_updated": "2019-07-29",
        "status": "A",
        "authorized_official_last_name": "FERMO",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-326-9499",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDUSTRIAL QUALITY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.