Gary I Greenwald, M.D

Primary specialty

SpecialistTaxonomy code 174400000X

License

G49421 Issued in CA

Practice address

72855 Fred Waring Dr Ste A6
Palm Desert, CA 92260-9369

Phone

(760) 341-9777

Fax

(760) 341-9872

NPI assigned

Nov 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Desert Medical Advances Dma of the Coachella Valley Medical Corporatio

  • Specialist
  • Rancho Mirage, CA
  • NPI 1558521963
  NPD
• Eisenhower Medical Center

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1093797151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72855 FRED WARING DR STE A6",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609369",
            "telephone_number": "760-341-9777",
            "fax_number": "760-341-9872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72855 FRED WARING DR STE A6",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922609369",
            "telephone_number": "760-341-9777",
            "fax_number": "760-341-9872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWALD",
        "first_name": "GARY",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G49421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Graney, LCSW
• Barry Grant, D.D.S.
• Aryn McKenzie Gravitt
• Stephanie Ellen Gray V, LMT
• Peter Greenberg, MD
• Maria W Greenwald, M.D.
• Gregory B. McMahill, OD, an Optometric Corporation
• Elizabeth Gregory
• Kelly Grotsky, L.M.F.T.
• Judy Guan-Nunes, PHARMD

• Specialist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.