Donald William Ferris, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G24351 Issued in CA

Practice address

480 Alta Rd
Richard J Donovan Correctional Facility Medical Dept
San Diego, CA 92179-9006

Phone

(619) 661-6500

Fax

(619) 671-7585

NPI assigned

Apr 10, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1770756835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 799006 480 ALTA RD",
            "address_2": "RICHARD J DONOVAN CORRECTIONAL FACILITY MEDICAL DEPT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921799006",
            "telephone_number": "619-661-6500",
            "fax_number": "619-671-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 ALTA RD",
            "address_2": "RICHARD J DONOVAN CORRECTIONAL FACILITY MEDICAL DEPT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921799006",
            "telephone_number": "619-661-6500",
            "fax_number": "619-671-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIS",
        "first_name": "DONALD",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G24351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8363018",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen McGreevy Ferrey, MA CCC-SLP
• Henry A Ferreyra, M.D.
• Emily Ferri
• Larissa Lapine Ferrill
• Michelle Ferrill, M.A. CCC-SLP
• Joseph Ferris, R.N.
• Sheila Ferris
• Thatcher Ferris, CRNA
• Caitlin Ferriter, PH.D.
• Amber Elaine Ferro

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.