Individual ProviderJames Homer FergusonFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2501 Harbor Blvd, Costa Mesa, CA 92626-6143(714) 957-5000(916) 654-2431PECOS EnrollmentBased on the most recent information from CMS, provider James Homer Ferguson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:04 PM.Profile DetailsProvider ID1689625212Provider TypeIndividualFull NameFerguson, James HomerTitleDr.CredentialDOGenderMaleEnumeration Date5/16/2006Last Updated3/7/2023Contact InformationPractice LocationPractice Address2501 Harbor Blvd, Costa Mesa, CA 92626-6143Phone(714) 957-5000FaxUnlisted FaxMailing LocationMailing Address1600 9th Street, Room 205 Mailstop 2-3, Sacramento, CA 95814-6414Phone(916) 654-2431Fax(916) 654-3186Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense20A7415CaliforniaProvider IdentifiersIDDescriptionIssuerID020A74150DescriptionOtherIssuerPIN