Provider Demographics
NPI:1013018514
Name:FERMIN, ESTHER ABARCAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:ABARCAR
Last Name:FERMIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15203 11TH ST STE A
Mailing Address - Street 2:PO BOX 1280,
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92395-3737
Mailing Address - Country:US
Mailing Address - Phone:760-245-6455
Mailing Address - Fax:760-245-6455
Practice Address - Street 1:15203 11TH ST STE A
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-3737
Practice Address - Country:US
Practice Address - Phone:760-245-6455
Practice Address - Fax:760-245-6455
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA25858207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A258580Medicaid
111134084OtherRR MEDICARE
A86985Medicare UPIN
111134084OtherRR MEDICARE