Organization Active NPI

Esther a Fermin MD Inc

  • Hematology (Internal Medicine) Physician
  • Victorville, CA
National Provider Identifier
1851618326
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
License
A25858 Issued in CA
Legal business name
ESTHER A FERMIN MD INC
Practice address
15203 11TH Street
Suite a
Victorville, CA 92395
Phone
(760) 245-6455
Fax
(760) 245-6455
NPI assigned
Apr 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Authorized official

Name
Esther A Fermin, MDNPI 1013018514
Title
MD
Phone
(760) 245-6455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0000X A25858 CA Primary

Addresses

Primary practice location

15203 11TH Street
Suite a
Victorville, CA 92395

Mailing address

PO Box 1280
Victorville, CA 92393-1280
Phone (760) 245-6455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100917000941 CA Part B Supplier - Clinic/Group Practice 4385769066 Receives reassigned benefits from 1 practitioner
Practice locations: Victorville, CA

National Provider Directory

National Provider Directory

Locations

15203 Eleventh St
Ste A
Victorville, CA 92395
Phone (619) 245-6455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1851618326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923931280",
            "telephone_number": "760-245-6455",
            "fax_number": "760-245-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15203 11TH STREET",
            "address_2": "SUITE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-245-6455",
            "fax_number": "760-245-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHER A FERMIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "FERMIN",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "760-245-6455",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": "CA",
            "license": "A25858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.