Provider Demographics
NPI:1366472912
Name:FINCH, IRA (MD)
Entity Type:Individual
Prefix:DR
First Name:IRA
Middle Name:
Last Name:FINCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 OAK GROVE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2536
Mailing Address - Country:US
Mailing Address - Phone:925-296-7150
Mailing Address - Fax:925-296-7171
Practice Address - Street 1:2125 OAK GROVE RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2536
Practice Address - Country:US
Practice Address - Phone:925-296-7150
Practice Address - Fax:925-296-7171
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG427752085R0202X, 2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G4277512Medicare PIN
CA00G4277523Medicare PIN
CA00G4277515Medicare PIN
CA00G4277517Medicare PIN
CA00G4277519Medicare PIN
CA00G4277520Medicare PIN
CA00G427756Medicare PIN
CA00G4277510Medicare PIN
CA00G427754Medicare PIN
CA00G427759Medicare PIN
CA00G4277521Medicare PIN
CA00G427755Medicare PIN
CA00G4277511Medicare PIN
CAA89764Medicare UPIN
CA300097021Medicare PIN
CA00G4277513Medicare PIN
CA00G4277514Medicare PIN
CA00G4277516Medicare PIN
CA00G4277518Medicare PIN
CA00G427757Medicare PIN
CA00G427758Medicare PIN
CA300028384Medicare PIN
CA300104828Medicare PIN
CA00G427752Medicare PIN
CA00G4277522Medicare PIN
CA300039625Medicare PIN