Healthcare Provider Details

I. General information

NPI: 1366358293
Provider Name (Legal Business Name): ELYSSA FEINBERG, MD TRAUMA AND ACUTE CARE SURGERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19845 LAKE CHABOT RD STE 200
CASTRO VALLEY CA
94546-4055
US

IV. Provider business mailing address

683 PILGRIM DR
FOSTER CITY CA
94404-1729
US

V. Phone/Fax

Practice location:
  • Phone: 510-538-5500
  • Fax:
Mailing address:
  • Phone: 650-567-9495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ELYSSA J FEINBERG
Title or Position: PRESIDENT
Credential: MD
Phone: 510-538-5500