Healthcare Provider Details

I. General information

NPI: 1669116083
Provider Name (Legal Business Name): KAREN FENG DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5615 SCOTTS VALLEY DR FL 2
SCOTTS VALLEY CA
95066-3492
US

IV. Provider business mailing address

5541 GREAT OAKS PKWY
SAN JOSE CA
95123-4263
US

V. Phone/Fax

Practice location:
  • Phone: 831-430-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20A23707
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: