Nancy L Greenstreet, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G73019 Issued in CA

Practice address

528 Capitola Ave
Capitola, CA 95010-2750

Phone

(831) 475-1630

Fax

(831) 475-1629

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225040488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR STE 330",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651722",
            "telephone_number": "831-465-7761",
            "fax_number": "831-475-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 CAPITOLA AVE",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102750",
            "telephone_number": "831-475-1630",
            "fax_number": "831-475-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENSTREET",
        "first_name": "NANCY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G73019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0028551",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Persephone B. Gonzalez
• Carla Collins Gorum, MD
• Patrick Michael Grant, DPT
• Lana Grassi
• Stephanie Melton Graziani, DO
• Julia H Greenwood, NP
• Diana Grey
• Kathleen V. Grisham, REGISTERED NURSE
• Ekaterina Gurzhi, PA-C
• America Gutierrez

• Family Medicine Physician in Capitola, CA
• Providers in Capitola, 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 Jul 9, 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.