| Diego F Ferro Md Inc | |
|
420 W Acacia St Suite 1 Stockton CA 95203-2441 | |
| (209) 948-1583 | |
| (209) 948-3564 |
| Full Name | Diego F Ferro Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 420 W Acacia St, Stockton, California |
| Authorized Official Name and Position | Diego F Ferro (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 2099481583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diego F Ferro Md Inc 420 W Acacia St Suite 1 Stockton CA 95203-2441 Ph: (209) 948-1583 | Diego F Ferro Md Inc 420 W Acacia St Suite 1 Stockton CA 95203-2441 Ph: (209) 948-1583 |
| NPI Number | 1174880835 |
|---|---|
| Provider Enumeration Date | 04/19/2012 |
| Last Update Date | 10/27/2014 |
| Medicare PECOS PAC ID | 2062677594 |
|---|---|
| Medicare Enrollment ID | O20120706000134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174880835 | NPI | - | NPPES |
| 1174880835 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A106012 (California) | Primary |
| Provider Name | Diego F Ferro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700027877 PECOS PAC ID: 2769660877 Enrollment ID: I20110620000527 |
| Provider Name | Julie Ann Basler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770289043 PECOS PAC ID: 0941664973 Enrollment ID: I20230911000087 |
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