Provider Demographics
NPI:1083013981
Name:FEMINO, JAMES J (MD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:FEMINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 N 5TH AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3710
Mailing Address - Country:US
Mailing Address - Phone:626-357-6363
Mailing Address - Fax:
Practice Address - Street 1:51 N 5TH AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3710
Practice Address - Country:US
Practice Address - Phone:626-357-6363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA20139207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA82162Medicare UPIN