Active NPI
Loren Alexander Fefer, M.D.
- Gastroenterology Physician
- Rocklin, CA
National Provider Identifier
1063496503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A045094
- Practice address
- 550 W Ranch View Dr Ste 2005
Rocklin, CA 95765-5391 - Phone
- (916) 295-5700
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A045094 | CA | Primary |
Addresses
Primary practice location
550 W Ranch View Dr Ste 2005
Rocklin, CA 95765-5391
Mailing address
550 W Ranch View Dr Ste 2005
Rocklin, CA 95765-5391
Phone (916) 295-5700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A450940 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A045094 | CA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1063496503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W RANCH VIEW DR STE 2005",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655391",
"telephone_number": "916-295-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W RANCH VIEW DR STE 2005",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "957655391",
"telephone_number": "916-295-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEFER",
"first_name": "LOREN",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A045094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A450940",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.