Active NPI
Nancy Lynn Greengold, MD
- Internal Medicine Physician
- Los Angeles, CA
National Provider Identifier
1033328208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G075632
- Practice address
- 10880 Wilshire Blvd
Suite #300
Los Angeles, CA 90024 - Phone
- (310) 954-1948
- Fax
- (310) 954-1949
- NPI assigned
- May 22, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G075632 | CA | Primary |
Addresses
Primary practice location
10880 Wilshire Blvd
Suite #300
Los Angeles, CA 90024
Mailing address
18750 Tuba Street
Northridge, CA 91324
Phone (310) 488-5985
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G075632 | CA | MD | Internal Medicine Physician |
Interoperability endpoints
- ngreengold102836@direct.cshs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033328208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18750 TUBA STREET",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "91324",
"telephone_number": "310-488-5985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10880 WILSHIRE BLVD",
"address_2": "SUITE #300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90024",
"telephone_number": "310-954-1948",
"fax_number": "310-954-1949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENGOLD",
"first_name": "NANCY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G075632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.