Provider Demographics
NPI:1477057800
Name:GARMENDIA, FERMIN (MD)
Entity Type:Individual
Prefix:
First Name:FERMIN
Middle Name:
Last Name:GARMENDIA
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 1:1721 WESTWIND DR STE B
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3026
Mailing Address - Country:US
Mailing Address - Phone:661-210-1006
Mailing Address - Fax:661-324-1172
Practice Address - Street 1:7800 NILES STREET
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-4937
Practice Address - Country:US
Practice Address - Phone:661-328-4284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPTL98390200000X
CAA173476207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program