Active NPI
Annette Sylvia Joy Feigenbaum, M.D.
- Medical Biochemical Genetics
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Biochemical Genetics
- License
- C54803
- Practice address
- 7920 Frost St Ste 200
San Diego, CA 92123-4289 - Phone
- (858) 576-1700
- NPI assigned
- Sep 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Biochemical Genetics | 207SG0207X | C54803 | CA | Primary |
Addresses
Primary practice location
7920 Frost St Ste 200
San Diego, CA 92123-4289
Mailing address
3020 Childrens Way # Mc5003
San Diego, CA 92123-4223
Phone (858) 309-6300
Other practice location 1
3020 Childrens Way
San Diego, CA 92123-4223
Phone (858) 576-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54803 | CA | MD | General Practice Dentistry |
| C54803 | CA | MD | Medical license number |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rady Children'S Hospital San Diego | Current | Accepting new patients | |
| Rady Children'S Hospital San Diego | Current | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients |
Locations
25170 Hancock Ave
Murrieta, CA 92562
Phone (858) 757-3277
7920 Frost St
Ste 425
San Diego, CA 92123
7910 Frost St
Ste 200
San Diego, CA 92123
Phone (858) 278-8300
3020 Childrens Way
#5110
San Diego, CA 92123
Phone (619) 543-7800
7920 Frost St
Ste 200
San Diego, CA 92123
Phone (858) 966-4013
3020 Childrens Way
San Diego, CA 92123
Phone (858) 966-5841
3020 Childrens Way
#5003
San Diego, CA 92123
Phone (858) 309-6300
Interoperability endpoints
- afeigenbaum106805@radychildrens.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- San Diego, CA
- NPI 1669617197
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714003200000",
"number": "1902187859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY # MC5003",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-309-6300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 FROST ST STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234289",
"telephone_number": "858-576-1700"
}
],
"practiceLocations": [
{
"address_1": "3020 Childrens Way",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921234223",
"country_code": "US",
"telephone_number": "858-576-1700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEIGENBAUM",
"first_name": "ANNETTE",
"middle_name": "SYLVIA JOY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "207SG0207X",
"taxonomy_group": "",
"desc": "Medical Genetics, Medical Biochemical Genetics",
"state": "CA",
"license": "C54803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.