Provider Demographics
NPI:1578718938
Name:FERRERA, ROBERT DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DAVID
Last Name:FERRERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:107 SCRIPPS DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6300
Mailing Address - Country:US
Mailing Address - Phone:916-929-4646
Mailing Address - Fax:916-649-7598
Practice Address - Street 1:107 SCRIPPS DR
Practice Address - Street 2:SUITE 210
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6300
Practice Address - Country:US
Practice Address - Phone:916-929-4646
Practice Address - Fax:916-649-7598
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-25
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG24689207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine