Provider Demographics
NPI:1699886101
Name:FINEBERG, ANNETTE E (MD)
Entity type:Individual
Prefix:
First Name:ANNETTE
Middle Name:E
Last Name:FINEBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:510-204-5600
Mailing Address - Fax:510-505-7722
Practice Address - Street 1:2020 SUTTER PL
Practice Address - Street 2:#203
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-6201
Practice Address - Country:US
Practice Address - Phone:530-750-5880
Practice Address - Fax:530-750-5881
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG86635207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G866350Medicaid
00G866350Medicare ID - Type Unspecified
CA00G866350Medicaid