Active NPI
Paul S Greenberg MD a Medical Corporation
- Cardiovascular Disease Physician
- Long Beach, CA
National Provider Identifier
1427245125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C35916
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C359160 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.