Provider Demographics
NPI:1225091309
Name:FERRARI, PATRICIA ANN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANN
Last Name:FERRARI
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15899 LOS GATOS ALMADEN RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-3739
Mailing Address - Country:US
Mailing Address - Phone:408-356-7770
Mailing Address - Fax:408-356-7774
Practice Address - Street 1:15899 LOS GATOS ALMADEN RD
Practice Address - Street 2:SUITE 4
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-3739
Practice Address - Country:US
Practice Address - Phone:408-356-7770
Practice Address - Fax:408-356-7774
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG56745208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G567450Medicaid
CAA53179Medicare UPIN