ARTHUR C FENN MD NPI 1043378409

NPI Information

  • NPI: 1043378409
  • Provider Name: ARTHUR C FENN, MD
  • Classification: Otolaryngology - 207YX0007X
  • Specialization: Plastic Surgery within the Head & Neck
  • Entity Type: Individual
  • Address: 1000 S ELISEO DR
    #103
    GREENBRAE, CA
    ZIP 94904
  • Phone: (415) 461-9770

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NPI Details

Arthur C Fenn, MD is a plastic surgery within the head and neck otolaryngology in Greenbrae, CA. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. Arthur C Fenn, MD NPI is 1043378409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 S ELISEO DR
#103
GREENBRAE, CA
ZIP 94904-133
Phone: (415) 461-9770
Fax: (415) 461-6744

The enumeration date for this NPI number is 12/5/2006 and was last updated on 3/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryG13883CALIFORNIANo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckG13883CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10040017876OTHERCALIFORNIARAILROAD MCR
200G138830MEDICAIDCALIFORNIA
3A39108MEDICARE UPIN
400G138830MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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