NPIMap

Individual provider Active NPI

Bruce Abraham Greenfield, M.D.

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1043224686
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
G46615 Issued in CA
Practice address
1400 S Grand Ave
Suite 800
Los Angeles, CA 90015-3048
Phone
(213) 748-1414
Fax
(213) 749-4021
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X G46615 CA Primary

Addresses

Primary practice location

1400 S Grand Ave
Suite 800
Los Angeles, CA 90015-3048

Mailing address

1400 S Grand Ave
Suite 800
Los Angeles, CA 90015-3048
Phone (213) 748-1414

Other identifiers 1

IdentifierTypeStateIssuer
00G466150MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401000853 CA Practitioner - NephrologyPractitioner - Internal Medicine 9739098286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Albert Einstein College of Medicine of Yeshiva University, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Nephrology Medical Group IncGroup PAC ID 5193709947, 5 clinicians

Practice addresses (Care Compare)

1400 S Grand Ave
Suite 800
Los Angeles, CA 90015-3048
Phone (213) 748-1414

Hospital & facility affiliations

  • USRC Gala Dialysis Dialysis facility, Los Angeles, CA, CCN 552692
  • USRC Grand Avenue Dialysis Dialysis facility, Los Angeles, CA, CCN 552526
  • USRC Grand Home Dialysis facility, Los Angeles, CA, CCN 552810
  • DaVita Washington Plaza Dialysis Center Dialysis facility, Los Angeles, CA, CCN 052856
  • DaVita Avalon Dialysis Dialysis facility, Los Angeles, CA, CCN 552793
  • Ultra Health Services, Inc. Home health agency, Valley Village, CA, CCN 757878
  • California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149
  • Martin Luther King, Jr. Community Hospital Hospital, Los Angeles, CA, CCN 050779
  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G46615CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Nephrology Medical Group, Inc. Nephrology CurrentSince May 1, 1995 Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Martin Luther King, Jr. - Los Angeles (MLK-la) Healthcare Corporation Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Dignity Community Care Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients

Locations

1400 S Grand Ave
Ste 800
Los Angeles, CA 90015
Phone (213) 748-1414

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043224686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "address_2": "SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153048",
            "telephone_number": "213-748-1414",
            "fax_number": "213-749-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S GRAND AVE",
            "address_2": "SUITE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153048",
            "telephone_number": "213-748-1414",
            "fax_number": "213-749-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFIELD",
        "first_name": "BRUCE",
        "middle_name": "ABRAHAM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G46615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G466150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.