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

Last updated

Sep 10, 2009By the provider in NPPES

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.NPI 1003911892

Title

Physican

Phone

(951) 308-1822

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay A. Ferns, D.O.

  • Family Medicine Physician
  • Temecula, CA
  • NPI 1003911892
  Authorized official Same address or phone

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
• JCS-Pine Hills
• Kayla Jean
• Waldtraut Jedamski, M.D.
• Timothy William Jenkins

• 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.