Individual provider Active NPI

Margaret B Greenough, MD

  • Family Medicine Physician
  • San Luis Obispo, CA
National Provider Identifier
1245542224
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A128317 Issued in CA
Practice address
4251 S Higuera St Ste 701
San Luis Obispo, CA 93401-7742
Phone
(805) 505-9899
Fax
(805) 439-0138
NPI assigned
Jul 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A128317 CA Primary

Addresses

Primary practice location

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

Mailing address

4251 S Higuera St Ste 701
San Luis Obispo, CA 93401-7742
Phone (805) 505-9899

Other identifiers 1

IdentifierTypeStateIssuer
CB230905OtherCAMEDICARE ID

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150324001044 CA Practitioner - Family Practice 1153558135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
En Tirage MedspaGroup PAC ID 1951834373, 3 clinicians

Practice addresses (Care Compare)

4251 S Higuera St
Suite 102
San Luis Obispo, CA 93401-7719
Phone (805) 505-9899

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A128317CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
En Tirage Medspa Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

4251 S Higuera St
Ste 102
San Luis Obispo, CA 93401
Phone (714) 785-5357

4251 S Higuera St
Ste 701
Sn Luis Obisp, CA 93401
Phone (805) 439-1381

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1245542224",
    "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": {
        "last_name": "GREENOUGH",
        "first_name": "MARGARET",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A128317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB230905",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

Verify at the official NPI Registry.