Nickeshia Ferron, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21147 Issued in CA

Practice address

1207 E Florida Ave
Hemet, CA 92543-4513

Phone

(951) 925-2523

NPI assigned

Oct 13, 2010

Last updated

Dec 22, 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 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nickeshia.ferron@398008301912068.direct.elationemr.com

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

• Compre Hensive Primary Care Medical Associates, Inc

  dba West Point Medical Center

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1982786620
  Medicare reassignment
• Walter Jones, III, M.D., Inc.

  • Internal Medicine Physician
  • Redlands, CA
  • NPI 1669660338
  NPD (past)

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1730499617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 BLOOMINGTON AVE UNIT 212",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923766493",
            "telephone_number": "347-891-5958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434513",
            "telephone_number": "951-925-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRON",
        "first_name": "NICKESHIA",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2023-12-22",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Favored by God Home Care Org LLC
• Roman H Felix, MD
• Ariel Fernandez, DDS
• Ramon Fernandez
• Shatera Ferrell
• Carlos Figueroa Rivera, TECHNICIAN
• Nataly Figueroa Valadez
• Aileen Figueroa
• Aleece Marie Figueroa
• Elias Figures

• Physician Assistant in Hemet, CA
• Providers in Hemet, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.