Jonathan Greenberg, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A95173 Issued in CA

Practice address

3020 Childrens Way
Mc5018
San Diego, CA 92123-4223

Phone

(858) 966-5832

Fax

(858) 966-6733

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

State licenses

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.

• County of Humboldt

  • State or Local Public Health Clinic/Center
  • Eureka, CA
  • NPI 1871676213
  Medicare reassignment NPD
• Yolo County Health and Human Services Agency

  • Community/Behavioral Health Agency
  • Davis, CA
  • NPI 1053443135
  Medicare reassignment NPD
• County of Humboldt

  • Community/Behavioral Health Agency
  • Eureka, CA
  • NPI 1033300306
  NPD
• County of Humboldt

  • Clinical Medical Laboratory
  • Eureka, CA
  • NPI 1689751687
  NPD
• Yolo County Health and Human Services Agency

  • Community/Behavioral Health Agency
  • West Sacramento, CA
  • NPI 1033241112
  NPD
• Yolo County Health and Human Services Agency

  • Community/Behavioral Health Agency
  • Woodland, CA
  • NPI 1346446432
  NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245300029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9505 GENESEE AVE APT 532",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921212010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 CHILDRENS WAY",
            "address_2": "MC5018",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921234223",
            "telephone_number": "858-966-5832",
            "fax_number": "858-966-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A95173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Greenaway, LOTR
• Myra Greenberg Glassman
• Barry Greenberg, M.D.
• Diego Greenberg
• Eric N. Greenberg, MD
• Kenneth Michael Greenberg, D.C.
• Laurie Rae Greenberg, MD
• Leanne Kelly Greenberg
• Mark J. Greenberg, M.D.
• Marni Leah Greenberg, PSY.D.

• Child & Adolescent Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.