Provider Demographics
NPI:1386673598
Name:DAUBERT, JANELINE T (MD)
Entity Type:Individual
Prefix:
First Name:JANELINE
Middle Name:T
Last Name:DAUBERT
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 1:4150 V ST # 3500
Mailing Address - Street 2:UNIVERSITY OF CALIFORNIA, DAVIS
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1460
Mailing Address - Country:US
Mailing Address - Phone:916-734-3014
Mailing Address - Fax:916-734-7920
Practice Address - Street 1:4150 V ST # 3500
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA, DAVIS
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1460
Practice Address - Country:US
Practice Address - Phone:916-734-3014
Practice Address - Fax:916-734-7920
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC52360207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC52360OtherMEDICAL LICENSE