Physician Compare National (NPI:1265404289)

HEALTHCARE PROVIDER: GEORGE FEHRENBACHER M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1265404289
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0840182739
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100715000480
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FEHRENBACHER
	Individual professional last name
Provider First Name	GEORGE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1982
	Individual professional's medical school graduation year
Primary Specialty	CARDIOVASCULAR DISEASE (CARDIOLOGY)
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ROSEVILLE CARDIOLOGY MEDICAL ASSOCIATES, INC.
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4688566573
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	13
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	2 MEDICAL PLAZA DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 175
	Group Practice or individual's line 2 address
City	ROSEVILLE
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	956613049
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9167822146
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050309
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SUTTER ROSEVILLE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050498
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SUTTER AUBURN FAITH HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050108
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	SUTTER MEDICAL CENTER, SACRAMENTO
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	050150
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	SIERRA NEVADA MEMORIAL HOSPITAL
	Legal business name of hospital where individual professional provides service 4
Professional Accepts Medicare Assignment	Y