Jay a. Ferns D.O. a Professional Medical Corp.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6131 Issued in CA

Legal business name

JAY A. FERNS D.O. A PROFESSIONAL MEDICAL CORP.

Practice address

29738 Rancho California Road
Suite B
Temecula, CA 92591

Phone

(951) 308-1822

Fax

(951) 699-6734

NPI assigned

Sep 10, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jay A Ferns, D.O.

Title

Physican

Phone

(951) 308-1822

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1780917666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29738 RANCHO CALIFORNIA ROAD",
            "address_2": "SUITE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "951-308-1822",
            "fax_number": "951-699-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29738 RANCHO CALIFORNIA ROAD",
            "address_2": "SUITE B",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "951-308-1822",
            "fax_number": "951-699-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY A. FERNS D.O. A PROFESSIONAL MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "FERNS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICAN",
        "authorized_official_telephone_number": "951-308-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Lynn Jansen
• Xitlaly Jaramillo
• Lindsey Jarrous, OTR/L
• Gabriel Jasperson
• Daniel Javidi, DO
• May Jazi
• Waldtraut Jedamski, M.D.
• Timothy William Jenkins
• Jennifer Patterson Marriage and Family Therapy Inc
• Maggie Jennings

• Family Medicine Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; 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.