Provider Demographics
NPI:1134164189
Name:FIRMAN, JAMES WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WILLIAM
Last Name:FIRMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-6367
Mailing Address - Country:US
Mailing Address - Phone:707-421-6692
Mailing Address - Fax:707-421-6674
Practice Address - Street 1:530 UNION AVE
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-6367
Practice Address - Country:US
Practice Address - Phone:707-421-6692
Practice Address - Fax:707-421-6674
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32024207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG32024FOtherMEDICARE ID - TYPE UNSPECIFIED
CA00G320240Medicaid
CA00G320240Medicaid
CAW14270AMedicare PIN
CAW14270Medicare PIN