Individual provider Active NPI

Todd A Ferris, MD, MS

  • Clinical Informatics Physician
  • Palo Alto, CA
National Provider Identifier
1265688162
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Informatics PhysicianTaxonomy code 2083C0008X
License
A70409 Issued in CA
Practice address
3172 Porter Dr
Palo Alto, CA 94304-1212
Phone
(650) 725-1825
Fax
(650) 725-4415
NPI assigned
Aug 11, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A70409 CA
Clinical Informatics Physician 2083C0008X A70409 CA Primary

Addresses

Primary practice location

3172 Porter Dr
Palo Alto, CA 94304-1212

Mailing address

3172 Porter Dr
Palo Alto, CA 94304-1212
Phone (650) 725-1825

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)
Not enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
A70409CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265688162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 PORTER DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041212",
            "telephone_number": "650-725-1825",
            "fax_number": "650-725-4415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3172 PORTER DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041212",
            "telephone_number": "650-725-1825",
            "fax_number": "650-725-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "TODD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A70409",
            "primary": false
        },
        {
            "code": "2083C0008X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": "CA",
            "license": "A70409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.