Patricia A Fertig, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

20A14928 Issued in CA

Practice address

19531 McLane St
Ste B
Palm Springs, CA 92262

Phone

(951) 358-7900

NPI assigned

Apr 20, 2011

Last updated

Oct 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1457642803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SAN DIEGO FAMILY CARE DBA MID-CITY COMMUNITY CLINIC",
            "address_2": "4290 POLK AVENUE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051524",
            "telephone_number": "619-563-0250",
            "fax_number": "858-633-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19531 MCLANE ST",
            "address_2": "STE B",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "951-358-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "San Diego Family Care dba Mid-City Community Clinic",
            "address_2": "4290 Polk Avenue",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921051524",
            "country_code": "US",
            "telephone_number": "619-563-0250",
            "fax_number": "858-633-4681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERTIG",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A14928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seanna Fernandez
• Mandy Elizabeth Ferrell, CADC I
• Richard A Ferreras, MD
• Sean Ferri, PSYD
• Lisa Ferrigno, MD
• Connor Edward Fewel, MD
• Eleazar Fierro, MD
• Delia Fimbrez
• Monique Fincannon, PMHNP-BC
• Evelyn Fincher, CRNA

• Psychiatry Physician in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; 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.