MEDICARE: DR. CATHERINE S FEHRMANN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	A052096	CA

General Provider Information

NPI Number	:	1629169776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE S FEHRMANN MD

Provider Business Mailing Address
First Line	:	769 CENTER BLVD # 209
Second Line	:
City	:	FAIRFAX
State	:	CA
Zip	:	94930-1764
Country	:	US
Telephone Number	:	415-459-9200
Fax Number	:	415-459-9201

Provider Business Practice Location Address
First Line	:	503 D ST
Second Line	:
City	:	SAN RAFAEL
State	:	CA
Zip	:	94901-3854
Country	:	US
Telephone Number	:	415-459-9200
Fax Number	:	415-459-9201

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	05/01/2025

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