Active NPI
Hubert T. Greenway, M.D.
- MOHS-Micrographic Surgery Physician
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- C39104
- Practice address
- 10820 N Torrey Pines Rd
La Jolla, CA 92037-1036 - Phone
- (858) 554-8646
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | C39104 | CA | Primary |
| Dermatology Physician | 207N00000X | C39104 | CA |
Addresses
Primary practice location
10820 N Torrey Pines Rd
La Jolla, CA 92037-1036
Mailing address
10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (858) 554-8646
Other practice location 1
15004 Innovation Dr
San Diego, CA 92128-3491
Phone (858) 554-8646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C391040 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Medical College of Georgia School of Medicine, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10820 N Torrey Pines Rd
La Jolla, CA 92037-1036
Phone (858) 554-4100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 220 |
| Removal of skin lesions | 166 |
| Removal of skin cancer | 1625 |
| Skin biopsy | 174 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C39104 | CA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Dap Health, Inc. | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Scripps Health | Dermatology | Current | Accepting new patients |
| Grossmont Hospital Corporation | Past | Accepting new patients | |
| Scripps Clinic Medical Group | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients | |
| Orange County Global Medical Center, Inc | Past | Accepting new patients |
Locations
9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123
10666 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-2626
10820 N Torrey Pines Rd
La Jolla, CA 92037
Phone (858) 554-3300
File 54433
Los Angeles, CA 90074
Phone (858) 784-5645
15004 Innovation Dr
San Diego, CA 92128
Phone (858) 487-1800
3811 Valley Centre Dr
San Diego, CA 92130
Phone (858) 554-8645
10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626
9730 Summers Ridge Rd
#100
San Diego, CA 92121
Phone (858) 549-7400
Interoperability endpoints
- hgreenway9138@scrippshlth.medalliesdirect.net
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Borrego Springs, CA
- NPI 1134144165
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Home Health Agency
- San Diego, CA
- NPI 1578556114
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- General Acute Care Hospital
- Santa Ana, CA
- NPI 1982697678
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1124003280
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841233780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1366419004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10790 RANCHO BERNARDO RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921275705",
"telephone_number": "858-554-8646",
"fax_number": "858-554-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10820 N TORREY PINES RD",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920371036",
"telephone_number": "858-554-8646"
}
],
"practiceLocations": [
{
"address_1": "15004 Innovation Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921283491",
"country_code": "US",
"telephone_number": "858-554-8646",
"fax_number": "858-554-9562",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENWAY",
"first_name": "HUBERT",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "C39104",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "C39104",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C391040",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Jolla, CA
- Nicola Green, MD, PHD, MPH
- Natalie Rose Greenberg, ND
- Jessica Michelle Greene, ND, DC
- Cecelia Rose Greene/Pendzich, CERTIFIED PERMANENT
- Sheryl L Greenly
- Greg Mattson MD Inc
- Diana M Greg, PH D
- Gregory M. Berkoff D.C., Inc., Doctor of Chiropractic, a Prof Corp.
- Karen Scrivner Greiner, MD, MPH
- Grey Cunningham, D.D.S., Apc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.
- 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.