Organization Active NPI

Paul S Greenberg MD a Medical Corporation

  • Cardiovascular Disease Physician
  • Long Beach, CA
National Provider Identifier
1427245125
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C35916 Issued in CA
Legal business name
PAUL S GREENBERG MD A MEDICAL CORPORATION
Practice address
6531 E Mantova St
Long Beach, CA 90815-4661
Phone
(562) 596-9401
Fax
(562) 596-0626
NPI assigned
Sep 27, 2007
Last updated
Jul 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

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

Authorized official

Name
Paul Stanley Greenberg, MD
Title
President
Phone
(562) 596-9401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X C35916 CA Primary

Addresses

Primary practice location

6531 E Mantova St
Long Beach, CA 90815-4661

Mailing address

6531 E Mantova St
Long Beach, CA 90815-4661
Phone (562) 596-9401

Other identifiers 1

IdentifierTypeStateIssuer
00C359160MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1427245125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6531 E MANTOVA ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154661",
            "telephone_number": "562-596-9401",
            "fax_number": "562-596-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6531 E MANTOVA ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154661",
            "telephone_number": "562-596-9401",
            "fax_number": "562-596-0626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL S GREENBERG MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "GREENBERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-596-9401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "C35916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C359160",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.