Individual ProviderJoseph FargussonEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address4445 Magnolia Ave, Riverside, CA 92501-4135(951) 788-3000PECOS EnrollmentBased on the most recent information from CMS, provider Joseph Fargusson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1326467432Provider TypeIndividualFull NameFargusson, JosephTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/16/2014Last Updated11/28/2018Contact InformationPractice LocationPractice Address4445 Magnolia Ave, Riverside, CA 92501-4135Phone(951) 788-3000FaxUnlisted FaxMailing LocationMailing Address4445 Magnolia Ave, Riverside, CA 92501-4135PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicenseA139039California