Organization Active NPI

Leonard Greenwald, DPM

  • Podiatric Clinic/Center
  • San Jose, CA
National Provider Identifier
1043409345
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
E1982 Issued in CA
Legal business name
LEONARD GREENWALD, DPM
Practice address
750 N Capitol Ave
Suite B3
San Jose, CA 95133-1913
Phone
(408) 926-5855
Fax
(408) 926-2544
NPI assigned
Oct 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Leonard Greenwald, DPMNPI 1134179047
Title
Owner
Phone
(408) 926-5855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X E1982 CA Primary

Addresses

Primary practice location

750 N Capitol Ave
Suite B3
San Jose, CA 95133-1913

Mailing address

750 N Capitol Ave
Suite B3
San Jose, CA 95133-1913
Phone (408) 926-5855

Other names 1

  • Berryessay Hills Podiatry Group Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1043409345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 N CAPITOL AVE",
            "address_2": "SUITE B3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331913",
            "telephone_number": "408-926-5855",
            "fax_number": "408-926-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 N CAPITOL AVE",
            "address_2": "SUITE B3",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331913",
            "telephone_number": "408-926-5855",
            "fax_number": "408-926-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD GREENWALD, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "GREENWALD",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-926-5855",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E1982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berryessay Hills Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.