Jamison Derek Feramisco, MD, PHD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A105161 Issued in CA

Practice address

8898 Navajo Rd # C-349
San Diego, CA 92119-2141

Phone

(619) 650-5476

NPI assigned

Jul 19, 2007

Last updated

Aug 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, OR, FL3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Dermatology

Education

University of Texas Southwestern Medical School at Dallas, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

San Diego Dermatology Partners ApcGroup PAC ID 5294062345, 2 clinicians

Mismo Dermatology Group ApcGroup PAC ID 7012247414, 2 clinicians

Colusa Indian Community CouncilGroup PAC ID 1951211069, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• A Better Solution in Home Care Home health agency, San Diego, CA, CCN 053116
• Los Robles Healthcare Home health agency, Thousand Oaks, CA, CCN 058059
• Sutter Lakeside Hospital Hospital, Lakeport, CA, CCN 051329
• Colusa Medical Center Hospital, Colusa, CA, CCN 050783
• Almond View Care Center Nursing home, Williams, CA, CCN 555200
• Lakeport Post Acute Nursing home, Lakeport, CA, CCN 555222

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10718/brand/3/csg/1/fhir/r4
• Direct secure messaging: jamison.feramisco.1@10718.direct.athenahealth.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Lakeport Post Acute, LLC

  dba Lakeport Post Acute

  • Skilled Nursing Facility
  • Lakeport, CA
  • NPI 1932604048

  Contracted Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• San Diego Dermatology Partners Apc

  • Dermatology Physician
  • La Mesa, CA
  • NPI 1396304986
  Medicare reassignment Care Compare group NPD Authorized official
• Mismo Dermatology Group Apc

  • Dermatology Physician
  • San Diego, CA
  • NPI 1306405998
  Medicare reassignment Care Compare group NPD
• Careconnectmd Ca PC

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1366063125
  Medicare reassignment NPD
• County of San Mateo

  dba San Mateo Medical Center

  • Multi-Specialty Clinic/Center
  • San Mateo, CA
  • NPI 1831268580
  Medicare reassignment NPD
• Family Health Centers of San Diego, Inc

  dba Logan Heights Family Health Center

  • Federally Qualified Health Center (FQHC)
  • San Diego, CA
  • NPI 1447281936
  Medicare reassignment NPD
• Marin Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Greenbrae, CA
  • NPI 1023041753
  Medicare reassignment NPD
• Morrison Multi-Specialties Companies Inc

  dba San Diego Arthritis Medical Clinic

  • Rheumatology Physician
  • San Diego, CA
  • NPI 1154965093
  Medicare reassignment NPD
• Nova Medical Services - Dermatology Division LLC

  • Dermatology Physician
  • Miami, FL
  • NPI 1861137655
  Medicare reassignment NPD
• Misco Medical Group Inc

  • Internal Medicine Physician
  • Kentfield, CA
  • NPI 1932469749
  NPD (past) Authorized official
• Mismo Derm and Wound TX Ed PLLC

  • General Practice Physician
  • Arlington, TX
  • NPI 1861362386

  Dermatology

  NPD (past) Authorized official
• Colusa Indian Community Council

  dba Colusa Indian Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Colusa, CA
  • NPI 1790778660
  Care Compare group
• County of San Mateo

  dba Shasta

  • Community/Behavioral Health Agency
  • Redwood City, CA
  • NPI 1528432481
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Almond View Care Center LLC

  dba Almond View Care Center

  • Skilled Nursing Facility
  • Williams, CA
  • NPI 1174279681

  Nursing home

  Care Compare affiliation
• Colusa Medical Center LLC

  dba Colusa Medical Center

  • Rural Acute Care Hospital
  • Colusa, CA
  • NPI 1215475124
  Care Compare affiliation
• Comfort and Thrive Home Health Corporation

  dba Comfort and Thrive Home Health

  • Home Health Agency
  • San Diego, CA
  • NPI 1588053177
  Care Compare affiliation
• Lakeport Post Acute, LLC

  dba Lakeport Post Acute

  • Skilled Nursing Facility
  • Lakeport, CA
  • NPI 1932604048

  Nursing home

  Care Compare affiliation
• Los Robles Homecare Services Inc

  dba Los Robles Healthcare

  • Home Health Agency
  • Thousand Oaks, CA
  • NPI 1982602496
  Care Compare affiliation
• Sutter Bay Hospitals

  • Critical Access Hospital
  • Lakeport, CA
  • NPI 1952634008
  Care Compare affiliation

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1043410871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31566 RAILROAD CANYON ROAD",
            "address_2": "2-130",
            "city": "CANYON LAKE",
            "state": "CA",
            "postal_code": "925879446",
            "telephone_number": "877-870-9301",
            "fax_number": "877-882-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8898 NAVAJO RD # C-349",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192141",
            "telephone_number": "619-650-5476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "367 Del Norte Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959914116",
            "country_code": "US",
            "telephone_number": "619-650-5476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7918 El Cajon Blvd Ste N186",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919426719",
            "country_code": "US",
            "telephone_number": "619-650-5476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERAMISCO",
        "first_name": "JAMISON",
        "middle_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A105161",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A105161",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME156058",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A105161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob H Fennessy, M.D.
• Mark S. Fenster, MD
• Gerrie Fenton
• William Arnold Fenton, MFT
• Heather Fenwick, L.AC
• Arielle Ferber, MSN, RN, AGPCNP-BC
• Kristi Dawn Ferchland, NP
• Brady Ferdig
• Robert Ferdowsmakan, MD, DMD
• Lauren Elizabeth Fereday, OD, MS

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.