En Tirage Medspa

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

EN TIRAGE MEDSPA

Doing business as

Margaret Greenough, MD, PC

Practice address

4251 S Higuera St Ste 701
San Luis Obispo, CA 93401-7742

Phone

(805) 505-9899

Fax

(805) 439-0138

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Margaret Bliss Greenough, MDNPI 1245542224

Title

President

Phone

(805) 550-5831

Specialties & licenses 1

Addresses

Other names 1

• Margaret Greenough, MD, PC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Margaret B Greenough, MD

  • Family Medicine Physician
  • San Luis Obispo, CA
  • NPI 1245542224
  Medicare reassignment Care Compare group NPD Authorized official
• Julia Crystal Veen, DO

  • Family Medicine Physician
  • San Luis Obispo, CA
  • NPI 1639798952
  Medicare reassignment Care Compare group NPD
• Jessica Gash

  • Physician Assistant
  • San Luis Obispo, CA
  • NPI 1184234593
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1144064106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 S HIGUERA ST STE 701",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017742",
            "telephone_number": "805-505-9899",
            "fax_number": "805-439-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 S HIGUERA ST STE 701",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017742",
            "telephone_number": "805-505-9899",
            "fax_number": "805-439-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EN TIRAGE MEDSPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "GREENOUGH",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "BLISS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-550-5831",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Margaret Greenough, MD, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Margaret Greenough, MD, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald Alan Ellis, D.D.S.
• Tamara Ellstrom, LVN
• Douglas Gregory Elterman
• Janet Kay Emmons, M.F.T.
• Karen Empey, P.T.
• Glenn Engelman, D.O.
• Meghan Gene Englert, LMFT
• Julianna Englund, N.D., L.AC
• Nathan J Engstrom
• ENT Medical and Surgical Care

• Family Medicine Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.