Organization Active NPI

Victor L Greener, DPM, Inc

  • Podiatric Clinic/Center
  • Madera, CA
National Provider Identifier
1104222090
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
E3225 Issued in CA
Legal business name
VICTOR L GREENER, DPM, INC
Practice address
300 E Almond Ave Ste 105
Madera, CA 93637-5653
Phone
(559) 674-3338
Fax
(559) 674-1149
NPI assigned
Nov 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Authorized official

Name
Dr. Victor L Greener, DPM
Title
President
Phone
(559) 674-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X E3225 CA Primary

Addresses

Primary practice location

300 E Almond Ave Ste 105
Madera, CA 93637-5653

Mailing address

300 E Almond Ave Ste 105
Madera, CA 93637-5653
Phone (559) 674-3338

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1104222090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E ALMOND AVE STE 105",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375653",
            "telephone_number": "559-674-3338",
            "fax_number": "559-674-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E ALMOND AVE STE 105",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375653",
            "telephone_number": "559-674-3338",
            "fax_number": "559-674-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR L GREENER, DPM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "GREENER",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-674-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E3225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.