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NPI Code Detail

MEDICARE: JOSEPH PLEGAT FENERTY MD

MEDICARE: JOSEPH PLEGAT FENERTY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianG75953CA
2207LP2900XPain Medicine (Anesthesiology) PhysicianG75953CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699729178
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH PLEGAT FENERTY MD
Provider Business Mailing Address
First Line : PO BOX 7793
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94120-7793
Country : US
Telephone Number : 503-372-2740
Fax Number : 503-372-2754
Provider Business Practice Location Address
First Line : 1783 EL CAMINO REAL
Second Line :
City : BURLINGAME
State : CA
Zip : 94010-3205
Country : US
Telephone Number : 650-696-5400
Fax Number : 650-696-5208
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 09/11/2025

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Directions to “ JOSEPH PLEGAT FENERTY MD” Practice Location

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