Gerrol Lee Ferris

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Practice address

559 Mendocino CT
Atwater, CA 95301-4230

Phone

(209) 357-5200

Fax

(209) 357-5279

NPI assigned

Jul 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Rose Julia Riordan Tranquility Village

  • Substance Abuse Rehabilitation Facility
  • Atwater, CA
  • NPI 1578881595
  NPD (past)
• Tranquility Village Recovery

  • Substance Abuse Rehabilitation Facility
  • Atwater, CA
  • NPI 1174860555
  NPD (past)

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1144410168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 MENDOCINO CT",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014230",
            "telephone_number": "209-357-5200",
            "fax_number": "209-357-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 MENDOCINO CT",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "953014230",
            "telephone_number": "209-357-5200",
            "fax_number": "209-357-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "GERROL",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew John Fagundes
• Shaista Faiz
• Tabitha Fallah
• Jjanyl Federico
• Alondra Fernandez
• Suzy Fierro, RADT
• Ethan Figlio
• Gerald E Flanders, PHARMACIST
• Marianne Florendo
• Abby Flores-Banda

• Children's Substance Abuse Rehabilitation Facility in Atwater, CA
• Providers in Atwater, CA by specialty
• Children's Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.