Provider Demographics
NPI:1750895405
Name:FERGUSON, NORA G (DO CNA)
Entity type:Individual
Prefix:MS
First Name:NORA
Middle Name:G
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:DO CNA
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Mailing Address - Street 1:12245 MANOR DR APT C
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-3751
Mailing Address - Country:US
Mailing Address - Phone:323-247-6065
Mailing Address - Fax:424-269-1452
Practice Address - Street 1:12245 MANOR DR APT C
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-3751
Practice Address - Country:US
Practice Address - Phone:323-247-6065
Practice Address - Fax:424-269-1452
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-16
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA814937838OtherMEDICARE
CA814937838OtherSCAN INS
CA814937838OtherHEALTH NET
CA814937838OtherCAREFIRST
CA814937838OtherCIGNA HEALTH GROUP
CA814937838OtherKAISER FOUNDATION GROUP
CA814937838OtherMEDI-CAL
CA814937838OtherAETNA
CA814937838Medicaid
CA814937838OtherHMO INSURANCE
CA814937838OtherBLUE SHIELD OF CALIFORNIA