Individual provider Active NPI

Alan Phillip Feren, M.D.

  • Specialist
  • Mill Valley, CA
National Provider Identifier
1508103227
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G24920 Issued in CA
Practice address
326 Sheffield Ave
Mill Valley, CA 94941-3860
Phone
(415) 388-3131
Fax
(415) 388-3131
NPI assigned
Jan 15, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G24920 CA Primary

Addresses

Primary practice location

326 Sheffield Ave
Mill Valley, CA 94941-3860

Mailing address

326 Sheffield Ave
Mill Valley, CA 94941-3860
Phone (415) 388-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G24920CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1508103227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 SHEFFIELD AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413860",
            "telephone_number": "415-388-3131",
            "fax_number": "415-388-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SHEFFIELD AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413860",
            "telephone_number": "415-388-3131",
            "fax_number": "415-388-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEREN",
        "first_name": "ALAN",
        "middle_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G24920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.