Individual
JOSEPH PLEGAT FENERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1783 EL CAMINO REAL, BURLINGAME, CA 94010-3205
(650) 696-5400
(650) 696-5208
Mailing address
PO BOX 7793, SAN FRANCISCO, CA 94120-7793
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G75953
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G75953
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G759530
—
CA
Enumeration date
05/20/2006
Last updated
09/11/2025
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