| Timothy J Ferguson, MD | |
|
210 S. Grand, Glendora, Glendora, CA 91741-4205 | |
| (626) 963-9402 | |
| (626) 914-5316 |
| Full Name | Timothy J Ferguson |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 210 S. Grand, Glendora, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205878451 | NPI | - | NPPES |
| GR0023980 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A036813 (California) | Primary |
| Entity Name | Timothy J Ferguson Md Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831346592 PECOS PAC ID: 3678620366 Enrollment ID: O20090415000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Ferguson, MD 210 S Grand Ave, Glendora, Glendora, CA 91741-4205 Ph: (626) 335-3527 | Timothy J Ferguson, MD 210 S. Grand, Glendora, Glendora, CA 91741-4205 Ph: (626) 963-9402 |
Dr. John Joseph Dimare Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 250 S Grand Ave, Glendora, CA 91741 Phone: 626-857-3242 Fax: 626-857-3274 | |
Dr. Oliver M Burrows, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1377 S Grand Ave, Glendora, CA 91740 Phone: 626-483-3348 Fax: 626-914-5316 | |
Dr. Florence Cappleman, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2025 E Route 66, Glendora, CA 91740 Phone: 626-963-3682 Fax: 626-914-5419 | |
Dr. Lisa L Thomsen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 210 S Grand Ave Ste 400, Glendora, CA 91741 Phone: 626-963-4149 | |
Shant Tomassian, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 415 W Route 66 Ste 201, Glendora, CA 91740 Phone: 626-963-0900 Fax: 626-963-9663 | |
Dr. -rafik R Girgis, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 W Route 66, Suite 201, Glendora, CA 91740 Phone: 626-963-0253 Fax: 626-914-6453 |