Individual provider Active NPI

Catherine S Fehrmann, MD

  • General Practice Physician
  • San Rafael, CA
National Provider Identifier
1629169776
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A052096 Issued in CA
Practice address
503 D St
San Rafael, CA 94901-3854
Phone
(415) 459-9200
Fax
(415) 459-9201
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A052096 CA Primary

Addresses

Primary practice location

503 D St
San Rafael, CA 94901-3854

Mailing address

769 Center Blvd # 209
Fairfax, CA 94930-1764
Phone (415) 459-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230718003369 CA Practitioner - General Practice 3476913765 Practice locations: Forest Knolls, CA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Forest Knolls, CA 94933
Phone (415) 459-9200

769 Ctr Blvd
Suite 209
Fairfax, CA 94930-1764

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A052096CAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1629169776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 CENTER BLVD # 209",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301764",
            "telephone_number": "415-459-9200",
            "fax_number": "415-459-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 D ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013854",
            "telephone_number": "415-459-9200",
            "fax_number": "415-459-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEHRMANN",
        "first_name": "CATHERINE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A052096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.